反比通气和PEEP对肺损伤TNFα, IL8, ET1的影响
急性病;肺,损伤;反比通气;正压呼吸;肿瘤坏死因子α;,白细胞介素8;,内皮缩血管肽1,,急性病;肺,损伤;反比通气;正压呼吸;肿瘤坏死因子α;,白细胞介素8;,内皮缩血管肽1,反比通气
QIN Xin1,2, LIU YouNing1, CHEN LiangAn1, CHEN TianShi11Department of Respiratory Diseases, Chinese PLA General Hospital, Beijing 100853, China, 2Department of Respiratory Diseases, Second Clinical Hospital, Shanxi Medical University, Taiyuan 030072, China
【Abstract】 AIM: To investigate the effects of inverse ratio ventilation(IRV) and positive endexpiratory pressure(PEEP) on TNFα, IL8 and ET1 in oleic acidinduced lung injury. METHODS: Sixteen New Zealand rabbits were randomly divided into 2 groups, IRV group(n=8) and PEEP group (n=8). The IRV group were ventilated with a tidal volume(VT) of 12 mL/kg, respiratory rate of 30 breaths/min, I∶E=3∶1 and PEEP of 0 cmH2O; in PEEP group, VT was 10 mL/kg and respiratory rate 40 breaths/min, I∶E=1∶2 and PEEP=20 cmH2O; FiO2=0.5 in both groups. Mixed venous blood 3 mL was taken via right ercernal jugular vein respectively at 0, 30, 60, 90 and 120 min during ventilating. The animals were sacrificed by draining artery blood at the end of experiment. Right lung was cut off for wet/dry weighing and left was lavaged. Concentrations of TNFα, IL8 and ET1 in blood plasma and bronchoalveolar lavage fluid(BALF) were measured by radioimmune assay. RESULTS: Levels of TNFα ......
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