无静脉补液条件下失血性休克犬早期口服补液对循环氧动力学指标的影响临床医学.docVIP

无静脉补液条件下失血性休克犬早期口服补液对循环氧动力学指标的影响临床医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：无静脉补液条件下失血性休克犬早期口服补液对循环氧动力学指标的影响临床医学 2 1 实验材料 3 2 模型与分组 3 3 指标检测 4 4 统计学方法 4 1 72小时死亡数 5 2 MAP变化 5 3 PaO2 、PaCO2和pH的变化 5 4 DO2和VO2 5 文2：人参二醇组皂苷对失血性休克犬心肌收缩功能和血氧饱和度的影响 8 1 材料与方法 8 2 结 果 9 3 讨 论 10 参考文摘引言： 10 原创性声明（模板） 12 文章致谢（模板） 12 正文 无静脉补液条件下失血性休克犬早期口服补液对循环氧动力学指标的影响临床医学 文1：无静脉补液条件下失血性休克犬早期口服补液对循环氧动力学指标的影响临床医学 Abstract： Objective To investigate the effect of early oral fluid resuscitation on circulatory oxygen dynamic paramete in dogs subjected to loss of 40% total blood Twenty Beagle dogs with intubation of carotid artery and jugular vein for 24 hou were subjected to loss of 40% total blood volume,then were divided into non fluid resuscitation(NR,n=8),oral resuscitation(OR,n=6) and intravenous resuscitation(IR,n=6) in IR and OR groups were given 3 times volume of blood loss of glucoseelectrolyte solution(GES) by gastric or intravenous infusion in the fit 24 hou after bleeding,while those in NR group were not given any in each group were given intravenous fluid resuscitation 24 hou post hemorrhage(PH).The mean arterial pressure (MAP) was determined. Blood gas analysis was evaluated for PaO2，PaCO，oxygen delivery(DO2) and oxygen coumption(VO2) before 0 hou and at 2,4,8,24,48 and 72 hou post Hemorrhage resulted in a significant decrease in MAP,PaO2,DO2 and VO2，and an increase in PaCO2 of three groups(P).The measurements of two resuscitation groups returned gradually to the prehemorrhage levels at 72 hou,while DO2 and VO2 still lowered compared with those at 0 hou(P).The measurements of MAP,PaO2 and pH of OR group were significantly superior to those of NR group,but inferior to those of IR levels of OR group were significantly higher than those of NR group at 4，8 and 24 hou,but lower than those of IR group (all P).VO2 levels of OR group were markedly higher than those of NR group 4 hou following hemorrhage,but lower than those of IR group(P