首都医科大学学报 ›› 2008, Vol. 29 ›› Issue (3): 308-310.

• 基础研究 • 上一篇    下一篇

MODS动物模型组织氧代谢的变化特征

任添华1, 牛驰1, 任爱民2, 张淑文2, 王宝恩2   

  1. 1. 首都医科大学附属北京天坛医院急诊科;2. 首都医科大学附属北京友谊医院感染暨急救医学科
  • 收稿日期:2008-01-06 修回日期:1900-01-01 出版日期:2008-06-24 发布日期:2008-06-24

The Characteristics of the Tissue Oxygenation Changes in the MODS Animal Model

Ren Tianhua1, Niu Chi1, Ren Aiming2, Zhang Shuwen2, Wang Baoneng2   

  1. 1. Department of Emergency, Beijing Tiantan Hospital, Capital Medical University;2. Department of Infection and Critical Care, Beijing Friendship Hospital, Capital Medical University
  • Received:2008-01-06 Revised:1900-01-01 Online:2008-06-24 Published:2008-06-24

摘要: 目的 探讨多脏器功能障碍综合征(multiple organ dysfunction syndrome,MODS)动物模型发生发展过程中机体组织细胞氧代谢的变化特征.方法 选择体质量在20~25kg的一年期雄性健康小香猪16只,由右侧颈内静脉缓慢注入标准大肠杆菌,分别于注入前及注入后1、3、5、7h采用热稀释原理测定心输出量(cardiac output,CO),测定CO的同时由Swan-Ganz漂浮导管的肺动脉测孔,抽取混合静脉血,由颈动脉鞘管抽取动脉血进行血气分析.将所得数据及动物当时的血色素和吸氧浓度(21%)输入监护仪计算出动脉氧含量(arterial oxygen content,CaO2)、氧输送量(oxygen delivery,DO2)、氧消耗量(oxygen consumption,VO2)、氧输送指数(oxygen delivery index,DO2I)、氧消耗指数(oxygen consumption index,VO2I)、氧摄取指数(oxygen extraction rate,O2Ext).结果 注入大肠杆菌1h后,这些氧代谢指标开始降低,并随不同时相表现出不同的变化特征.结论 这些结果为进一步多脏器功能障碍综合征(multiple organ dysfunction syndrome,MODS)的临床研究提供了实验基础.

关键词: 多脏器功能障碍综合征, 动物模型, 组织氧代谢

Abstract: Objective To investigate the characteristics of the tissue oxygenation changes in the MODS animal model.Methods Sixteen one-year-old male swines weighting was 20~25 kg were involved.Bacilius(17 million/kg) was injected into the right jugular vein,the tissue oxygenation-index(arterial oxygen content,CaO2,oxygen delivery,DO2,oxygen consumption,VO2,oxygen delivery index,DO2I,oxygen consumption index,VO2I,oxygen extraction rate,O2Ext) were determined at 1 h,3 h,5 h,7 h after injection.Results The study showed that,DO2,VO2 had no remarkably difference after 1,3,5 hours of Colon bacillus injection,after 7 hours have no remarkably difference compared with that was before making mode(P<0.01),but DO2I,VO2I had very remarkably difference compared with that was before making mode(P<0.01),after 1,3,5,7hours of Colon bacillus injection.After 5,7 hours injected Colon bacillus,the extract rate of oxygen(O2Ext) had remarkable difference(P<0.05).With linear correlation analysis for DO2I-VO2I,it was found DO2I was remarkably linear correlated with VO2I(r=0.784,P<0.01),therefore,they had the dependent relation.Conclusion These findings provide the experimental basis for the clinical study of MODS.

Key words: MODS, animal model, tissue oxygenation

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