[醫(yī)學(xué)]泌尿外科醫(yī)學(xué)論文范文優(yōu)秀醫(yī)學(xué)論文-展示頁
2025-01-27 12:22本頁面
【正文】 CKMB)試劑購自上?？迫A—東菱診斷用品有限公司。本研究以5%甘露醇建立了犬TURS模型，并進(jìn)行心功能評(píng)價(jià)。 myocardial enzymes。 water intoxication。發(fā)生TURS時(shí)心率和血壓的改變出現(xiàn)較早，應(yīng)足夠重視，并及時(shí)的檢測(cè)血清離子。病理觀察示心肌纖維間充血和局部變性，肺臟水腫。血清天冬氨酸轉(zhuǎn)氨酶、乳酸脫氫酶、肌酸激酶和肌酸激酶同工酶在60 min時(shí)的變化無統(tǒng)計(jì)學(xué)意義(P)。于輸液前和輸液后60 min，測(cè)定心功能，血清鉀、鈉、氯濃度，心肌酶譜，心電圖，并進(jìn)行病理觀察。經(jīng)尿道電切綜合征模型的建立和心功能評(píng)價(jià)來源：醫(yī)學(xué)論文發(fā)表——?jiǎng)?chuàng)新醫(yī)學(xué)網(wǎng) 作者：馮艷紅 作者單位：遼寧醫(yī)學(xué)院附屬第一醫(yī)院泌尿外科，遼寧 錦州121001 【摘要】 目的 以5%甘露醇沖洗液建立犬經(jīng)尿道電切綜合征(TURS)模型，探討TURS對(duì)心功能影響。方法 家犬8只，以100 mL/min速度靜脈輸入5%甘露醇沖洗液3 000 mL，建立犬TURS模型。結(jié)果 心率、左室舒張期末內(nèi)徑、收縮期末內(nèi)徑在30 min時(shí)增加(P值均)，收縮壓、舒張壓、脈壓和射血分?jǐn)?shù)30 min時(shí)降低(P值均)。TURS時(shí)心電圖可有心律不齊和心肌缺血改變。結(jié)論 TURS可引起心功能改變，并造成心肌損傷?！ 娟P(guān)鍵詞】 經(jīng)尿道電切綜合征 水中毒 心功能 心肌酶譜 犬 Establishment of the Transurethral Prostate Resection Syndrome Model and the Evaluation on Cardiac Function FENG Yanhong，JIANG Huamao，ZHANG Chunyang， ZHANG Datian，LIU Yan Department of Ultrasound, the First Affiliated Hospital of Liaoning Medical University，Jinzhou 121001 China Abstract : Objective To establish the transurethral prostate resection syndrome model in dogs and probe into the effects on cardiac function of the models of TURS. Methods We established animal models in eight dogs by intravenous injections of 3 000 mL 5% Mannitol at 100 mL/min. Cardiac function and electrocardiogram were examined before and after 10,20,30 and 60 minutes when serum dielectrics, myocardial enzymes were measured. Samples of the cardiac muscle and lung were taken out 60 minutes after the drug administration and were observed the histological changes. Results Heart rate, left ventricular enddiastolic dimension and left ventricular endsystolic dimension were increased 30 minutes after administration(P), systolic blood pressure, diastolic blood pressure pulse pressure and ejection fraction and shortening fraction but decreased in 30 minutes(P). The serum sodium, potassium and chloride levels were decreased at any time points, but the changes of myocardial enzymes were insignificantly in 60 minutes after administration(P). There were such changes as anisorhythmia, myocardial ischemia in electrocardiogram. Pathological examination revealed hyperaemia among myocardial fibers cardiac muscle fibers, part apomorphosis and edema of lung. Conclusions TURS may cause changes on cardiac function and myocardial damage. It was earlier to change heart rate and blood pressure when TURS happened. It is essential to examine blood dielectric in transurethral prostatic resection. Key words:transurethral prostate resection syndrome。 cardiac function。 dogs 經(jīng)尿道電切綜合征(Transurethral pr
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