极化液及纠正酸中毒对家兔高钾血症的治疗
Polarized Solution Treatment and Sodium Bicarbonate on Hyperkalemia in Rabbits
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摘要: [摘要]目的 探究一种稳定的高钾血症造模方法比较,极化液治疗及NaHCO3治疗对家兔实验性高钾血症的疗效并探讨其可能机制.方法 将30例家兔随机平均分成3组,运用“深静脉滴注法”造模成功后,分别进行生理盐水治疗,极化液治疗和碳酸氢钠治疗.结果 30例家兔通过颈外静脉滴注3%的氯化钾后均出现了典型的心电图变化,并且血清钾显著升高(P<0.01);分组治疗后,静脉滴注极化液和4%碳酸氢钠均可使心电图基本恢复正常血钾浓度明显下降(P<0.05).结论 深静脉滴注法是一种稳定可靠,易于操作的高钾血症模型复制方法,极化液和碳酸氢钠对高钾血症有抢救治疗作用.Abstract: Objective To investigate a steady way which named“intravenously guttae”of preparation of hyperkalemia in rabbit,and compare two different treatment methods polarized solution treatment and sodium bicarbonate treatment.Methods 30 rabbits were randomly divided into 3 groups:Saline group,polarized solution(glucose-insulin)group and sodium bicarbonate group(n=10 in each group).All rabbits were injected with 3% KCl and were treated with different ways.Results Typical ECG changes were found,and serum levels of [K+]were increased(P<0.05)in all 30 rabbits in three groups after injection of 3% KCL.After treatment,compared with Saline group,serum levels of [k+] were decreased significantly (P<0.05)and ECG recovered to normal in glucose-insulin group and sodium bicarbonate group.Conclusion “Intravenously guttae”is a simple and steady way of preparation of hyperkalemia model. Glucose-insulin and sodium bicarbonate are effective methods for the treatment of hyperkalemia.
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