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Deborah R. Van Pelt DVM MS Wayne E. Wingfield MS DVM Timothy B. Hackett DVM Linda G Martin DVM 《Journal of Veterinary Emergency and Critical Care》1993,3(2):63-70
Over the past several decades, recognition of acute respiratory failure as the cause of death in patients suffering from various clinical conditions has prompted aggressiv investigation into the area of respiratory physiology and supportive respiratory care. With the evolution of emergency medicine and critical care services in both human and veterinary medicine, many patients previously considered unsalvageable due to the severity of their underlying disease are now being resuscitated and successfully supported, creating a new population of critically ill patients. Where only a decade ago these patients would have succumbed to their underlying disease, they now survive long enough to manifest the complications of shock and tissue injury in the form of acute respiratory failure. Investigation into the pathophysiology and treatment of this acute respiratory distress syndrom (ARDS) has facilitated increased clinical application of respiratory theerapy and machanical ventilation.1 The purpose of this paper is to provide a basic review of respiratory mechanics and the pathophysiology of hypoxemia as they relate to airway pressure therapy in veterinary patients and to review the use of airway pressure therapy in veterinary patients This paper is divided into two parts; part I reviews respiratory mechanics and hypoxemia as they apply to respiratory therapy, while part II deals specifically with airway pressure therapy andits use in clinical cases. 相似文献
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选用中华硬蜱105kD柱层析纯化抗原对新西兰兔进行免疫接种,再用二棘血蜱进行叮咬,并与单纯二棘血蜱叮咬组和佐剂对照组进行对比,以探讨不同种属硬蜱之间的交叉免疫抗性。结果显示:单纯二棘血蜱叮咬组吸血量为181 3±44 3mg,而二棘血蜱叮咬由中华硬蜱105kD纯化抗原免疫接种组和佐剂对照组新西兰兔后其吸血量分别为102 1±25 3mg和168 5±40 9mg,纯化抗原免疫接种组较单纯二棘血蜱叮咬组和佐剂对照组吸血量分别下降43 7%和39 4%(P<0 01)。同时,纯化抗原免疫接种组也较单纯二棘血蜱叮咬组和佐剂对照组产卵量有显著下降。该研究结果表明中华硬蜱和二棘血蜱之间存在着交叉免疫反应。 相似文献
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羊、鸡抗鼠脂肪细胞膜抗血清对大鼠体脂与生长性能的影响 总被引:2,自引:1,他引:2
应用提取的鼠脂肪细胞膜分别免疫羊和鸡 ,所产生的抗血清用于 Wistar大鼠被动免疫。实验 1: 组腹腔注射羊正常血清 , 组腹腔注射羊抗鼠脂肪细胞膜抗血清 ,剂量均为 1m L /只 ,连续注射 4 d。结果表明 ,羊抗鼠脂肪细胞膜抗血清免疫促进了大鼠体增重 ,降低了体脂沉积 ,与对照组相比 ,7周末体重增加 6 .35 % (P<0 .0 5 ) ,饲料摄入增加6 .85 % (P<0 .0 1) ,料重比 (F/G)提高 4 5 .0 0 % (P<0 .0 5 ) ;肾周、附睾、网膜脂肪垫重量分别降低 2 3.92 % (P<0 .0 5 )、34.4 5 % (P<0 .0 5 )、0 .98% ,脂肪总量降低 2 0 .92 %。实验 2 :1组腹腔注射鸡正常血清 ,2组腹腔注射鸡抗鼠脂肪细胞膜抗血清 ,剂量均为 1m L/只 ,连续注射 4 d。结果表明 ,鸡抗鼠脂肪细胞膜抗血清免疫对大鼠的生长发育产生了不利影响 ,7周末 ,免疫大鼠平均体重较对照组减少 4 0 g(P<0 .0 5 ) ,饲料摄入显著降低 (P<0 .0 1) ;对体脂的沉积和血液中 TG和 FFA的影响没有规律 ,且无统计学意义 相似文献
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内毒素介导动物急性肾功能衰竭机理的试验研究 总被引:2,自引:0,他引:2
为了阐明内毒素介导急性肾功能衰竭的机理,观察了内毒素性肾功能衰竭家兔血液凝固性变化和肾脏的病理形态学变化。与对照组家兔比较,模型组家兔血小板计数和血浆纤维蛋白原含量极显著降低(P<0 01),出血时间、凝血时间、凝血酶原时间和白陶土部分凝血活酶生成时间显著或极显著延长(P<0 05,P<0 01)。另一方面,内毒素注射在全部模型组家兔导致了弥漫性血管内凝血,71.4%的肾小球中发现了微血栓,肾小球纤维素密度指数达60 6%。此外,96.2%的肾小管上皮细胞变性坏死,84.1%的肾小管中有管型形成。对照组家兔均未发现这些病理变化。上述试验结果揭示,内毒素引发了弥漫性血管内凝血,而肾小球毛细血管内广泛形成的微血栓阻断了肾小球毛细血管血流,从而导致肾小球滤过率降低,这是内毒素介导急性肾功能衰竭的首要机理。此外,肾小管上皮细胞的变性、坏死可损害其重吸收和分泌功能,管型形成可阻塞肾小管管腔并增大肾球囊内的压力,这些也都是在内毒素介导急性肾功能衰竭发生发展过程中起重要作用的因素。 相似文献
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Retrospective Evaluation of the Effect of Heart Rate on Survival in Dogs with Atrial Fibrillation 下载免费PDF全文
B. Pedro J. Dukes‐McEwan M.A. Oyama M.S. Kraus A.R. Gelzer 《Journal of veterinary internal medicine / American College of Veterinary Internal Medicine》2018,32(1):86-92
Background
Atrial fibrillation (AF) usually is associated with a rapid ventricular rate. The optimal heart rate (HR) during AF is unknown.Hypothesis/Objectives
Heart rate affects survival in dogs with chronic AF.Animals
Forty‐six dogs with AF and 24‐hour ambulatory recordings were evaluated.Methods
Retrospective study. Holter‐derived HR variables were analyzed as follows: mean HR (meanHR, 24‐hour average), minimum HR (minHR, 1‐minute average), maximum HR (maxHR, 1‐minute average). Survival times were recorded from the time of presumed adequate rate control. The primary endpoint was all‐cause mortality. Cox proportional hazards analysis identified variables independently associated with survival; Kaplan‐Meier survival analysis estimated the median survival time of dogs with meanHR <125 bpm versus ≥125 bpm.Results
All 46 dogs had structural heart disease; 31 of 46 had congestive heart failure (CHF), 44 of 46 received antiarrhythmic drugs. Of 15 dogs with cardiac death, 14 had CHF. Median time to all‐cause death was 524 days (Interquartile range (IQR), 76–1,037 days). MeanHR was 125 bpm (range, 62–203 bpm), minHR was 82 bpm (range, 37–163 bpm), maxHR was 217 bpm (range, 126–307 bpm). These were significantly correlated with all‐cause and cardiac‐related mortality. For every 10 bpm increase in meanHR, the risk of all‐cause mortality increased by 35% (hazard ratio, 1.35; 95% CI, 1.17–1.55; P < 0.001). Median survival time of dogs with meanHR<125 bpm (n = 23) was significantly longer (1,037 days; range, 524‐open) than meanHR ≥125 bpm (n = 23; 105 days; range, 67–267 days; P = 0.0012). Mean HR was independently associated with all‐cause and cardiovascular mortality (P < 0.003).Conclusions and Clinical Importance
Holter‐derived meanHR affects survival in dogs with AF. Dogs with meanHR <125 bpm lived longer than those with meanHR ≥ 125 bpm. 相似文献9.
Echocardiographic Estimates of Right Ventricular Systolic Function in Dogs with Myxomatous Mitral Valve Disease 下载免费PDF全文
E.H. Chapel B.A. Scansen K.E. Schober J.D. Bonagura 《Journal of veterinary internal medicine / American College of Veterinary Internal Medicine》2018,32(1):64-71
Background
Right ventricular (RV) dysfunction independently predicts outcomes in human myxomatous mitral valve disease (MMVD). There is limited information regarding RV systolic function in dogs with MMVD.Hypothesis
Right ventricular systolic function differs among stages of disease, decreasing in decompensated MMVD.Animals
Thirty‐sixclient‐owned dogs with MMVD not receiving oral cardiovascular medications.Methods
Prospective clinical study. Dogs were categorized according to disease severity as ACVIM Stage B1, B2, or C. Seven echocardiographic indices of RV systolic function were measured. Groups were compared by 1‐way ANOVA and Tukey's HSD test. Frequencies of cases with cardiac remodeling falling outside previously established reference intervals were compared using Fisher's exact test. Intra‐ and interobserver measurement variability was calculated for each RV function index.Results
The indices TAPSE (P = 0.029), RV StL (P = 0.012), and RV StRL (P = 0.041) were significantly different between groups. A greater proportion of B2 dogs (7 of 12) had TAPSE values above reference intervals compared with B1 (2 of 12) or C (2 of 12) dogs (P = 0.027). Measurement variability of TAPSE, RV S', and RV StG was clinically acceptable.Conclusions and Clinical Importance
Right ventricular systolic function differs between stages of MMVD, increasing in stage B2, and declining in stage C. The prognostic importance of RV function indices, particularly TAPSE, might be worth evaluating in dogs with MMVD. 相似文献10.
简述机械组件的可靠度的概念,比较机械组件与电子元件在可靠度上的不同特点。机械组件可靠度数据采集难度大,应做好机械组件失效分析,以在设计附件提高可靠度。 相似文献