在成年马的乳酸林格溶液的体积动力学
William W Muir1, Xiu Ting Yiew2, Shane W Bateman2
1College of Veterinary Medicine at the Lincoln Memorial University, Harrogate, Tennessee, USA.
Equine veterinary journal
|May 13, 2025
概括
静脉注射马的乳酸林格溶液迅速分布到外围组织,但缓慢排出,影响液体治疗的有效性. 这项研究使用体积动力学量化液体配置,以改进治疗方案.
科学领域:
- 马类医学 马类医学
- 兽医药理学 兽医药理学 兽医药理学
- 流体疗法是一种流体疗法.
背景情况:
- 马的液体治疗通常是经验性的,缺乏定量证据.
- 基于证据的量化静脉注射晶化物排放可以提高流体治疗的疗效.
研究的目的:
- 在成年马中确定静脉注射乳酸林格溶液 (LRS) 的体积动力学 (VK) 和血液动力学效应.
- 为优化马匹实践中的流体治疗提供定量数据.
主要方法:
- 十三匹健康的,患有牛血症的成年马接受了静脉注射的LRS.
- 使用非线性混合效应模型估计体积动力学参数,分析了白蛋白,血红蛋白和血红素.
- 在4小时内监测心肺,激素和尿路参数.
主要成果:
- 服用LRS会增加心率和静心动脉压.
- 液体配置最好用一个两模型来描述,其快速分布到外围空间 (26.2 L) 和缓慢返回.
- 观察到体内缓慢排泄,脏红细胞的招募影响了流体动力学.
结论:
- 体积动力学提供了一种定量方法来描述流体膨胀效应.
- 液体输液会影响心血管参数,需要仔细监测.
- 这项分析有助于开发精细的,基于证据的,用于马的液体输液协议.
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