腹腔扩容术治疗猪失血性休克复苏后腹内高压症对肝肾功能的影响-(8209)

《腹腔扩容术治疗猪失血性休克复苏后腹内高压症对肝肾功能的影响-(8209)》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、第三军医人学硕士学位论文veinsincompletelyblocked．The8minipigswererandomlydividedintotheIAVItreatmentgroupandtheshamoperationcontrolgroup．Datawasrecordedbeforeshock，2haftertheinitiationofIAH，and22haftersurgery，26haftersurgery，respectively．1．Intravesicalpressure(IVP)：afterthebladderwasevac

2、uated，50mlofphysiologicalsalinewasinjectedintothebladder，thenthesiliconetubewaserected；theverticalheightofthewatercolumnabovethepubicsymphysiswastakenasintravesicalpressurewhenthecolumndeclinedtoasteadylevel；Inferiorvenacavapressure(IVCP)：IVCPwasmeasuredwithamulti—functionmon

3、itorviainferiorvenacavacatheter；urinevolumeperhour．2．DXC800automaticbiochemistryanalyzerwasusedtoanalyzeglutamic—oxalacetictransaminease(AST)，glutamic—pyruvictransaminase(ALT)，urea(Ur)，creatinine(Cr)3．EnhancedabdominalCTscanwasappliedtoobservetheappearanceofliverandkidney．The

4、ratiooftheanteroposteriordiameteroftheabdomentOthetransversediameterwasmeasured(measuredatthelevelwheretheleftrenalveincrossestheaortaandexcludingthesubcutaneousfat)．Renalthickness，separationoftherenalpelvisandrenalcalyx，renalpelvisdiameterweremeasured，basedonthedataobtainedf

5、romtherightkidney4．Animalsweresacrificedat26haftersurgery，50gofrightlivertissuesandupperl／8oftherightkidneytissuewerereserved，anddividedinto2parts：onepartofspecimenwereweighedandthenplacedina60。Cdryingovenfor3days．Theotherpartofspecimenwerefixedin10％formalin，embeddedinparaffi

6、n，sliced，performedhematoxylin—eosin(HE)staining，andthenobservedunderthelightmicroscopeResults1．TheIAHmodelwassuccessfullyestablishedin8of12minipigs(66．7％)，3minipigsdiedduetoarhythmiawhenanesthetized，1duetoportalveinrupture，2duetOhemorrhagicshock．Theaveragebodyweightwas22．9±1．

7、7Kg，withbaselineMAPof18±14·3mmHg．ExsanguinationwasperformeduntilachievingaMAPof50mmHg，withexsanguinationvolumeof648±98m1．Therequiredtimeforachievingsuccessfulanimalmodelwas3．20+0．60h．Twoanimals(maximumIVPof17．6mmHgand19．2mmHg，respectively)showedrectalprolapseandstressurinaryi

8、ncontinence．Theratioof4第三军医大学硕士学位论文anteroposteriordiametertothetrans