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저산소성 개에서 급성 동량성 혈액희석시의 순환계 반응
Circulatory Responses to Acute Isovolemic Hemodilution in Hypoxic Dogs
김성덕(Seong Deok Kim),임승운(Seung Woon Lim)
UCI I410-ECN-0102-2009-510-004587092
* 발행 기관의 요청으로 이용이 불가한 자료입니다.

The circulatory responses to acute isovolemic hemodilution were studied in nine mongrel dogs in hypoxic (FIO2=0.15) environment. The animals were bled 20 ml/kg of blood. The shed blood was replaced by equivalent amounts of low molecular weight dextran (LMWD). Hemodynamic measurements and calculations were performed in control normoxic period, hypoxic period before bleeding, hypoxic period after bleeding and after hemodilution with LMWD. By hemodilution, Hb and Hct were decreased from 13.6±0.8gm/dl and 41±2% to 12.9±0.9gm/dl and 21±2%, respectively. Hypoxia itself did not cause any hemodynamic changes. Bleeding caused significant increases in SVR (60%) and PVR (77.9%), and resulted in decreases in CI (40.0%), TI (32.7%) and PCWP (2.0%) compared with the data in control period. Hemodilution reversed gemodynamic changes induced by bleeding. PVR returned to normal and SVR was rather decreased by 24.2%. CI, PCWP and CVP were increased by 25.4%, 6.0%, and 37.5%, respectively. The parameters such as HR and RPP which might be related to oxygen consumption were decreased by 10.6%, compared with control data. This study demonstrated that, in spite of lowered arterial oxygen content during hemodilution, tissue oxygen supply and cardiac performance might be well maintained by combined effects of decreased afterload and oxygen consuming factors, and increased preload. In conclusion, acute isovolemic hemodilution with LMWD might be a safe tolerable method in the aspects of circulatory respones in hypoxic dogs.

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