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백서에서 저체온 전처치가 환기기유발폐손상 억제에 미치는 효과
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  • 백서에서 저체온 전처치가 환기기유발폐손상 억제에 미치는 효과
저자명
임채만,홍상범,고윤석,심태선,이상도,김우성,김동순,김원동,Lim. Chae-Man,Hong. Sang-Bum,Koh. Youn-Suck,Shim. Tae-Sun,Lee. Sang-Do,Kim. Woo-Sung,Kim. Dong-S
간행물명
결핵 및 호흡기 질환
권/호정보
2001년|50권 5호|pp.540-548 (9 pages)
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대한결핵및호흡기학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Backgrounds : Because ventilator-induced lung injury is partly dependent on the intensity of vascular flow, we hypothesized that hypothermia may attenuate the degree of such an injury through a reduced cardiac output. Methods : Twenty-seven male Sprague-Dawley rats were randomly assigned to normothermia ($37{pm}1^{circ}C$)-injurious ventilation (NT-V) group (n=10), hypothermia ($27{pm}1^{circ}C$)-injurious ventilation (HT-V) group (n=10), or nonventilated control group (n=7). The two thermal groups were subjected to injurious mechanical ventilation for 20 min with peak airway pressure 30 cm $H_2O$ at zero positive end-expiratory pressure, which was translated to tidal volume $54{pm}6;ml$ in the NT-V group and $53{pm}4;ml$ in the HT-V group (p>0.05). Results : Pressure-volume (P-V) curve after the injurious ventilation was almost identical to the baseline P-V curve in the HT-V group, whereas it was shifted rightward in the NT-V group. On gross inspection, the lungs of the HT-V group appeared smaller in size, and showed less hemorrhage especially at the dependent regions, than the lungs of the NT-V group. [Wet lung weight (g)/body weight (kg)] ($1.6{pm}0.1$ vs $2.4{pm}1.2$ ; p=0.014) and [wet lung weight/dry lung weight] ($5.0{pm}0.1$ vs $6.1{pm}0.8$ ; p=0.046) of the HT-V group were both lower than those of the NT-V group, while not different from those of the control group($1.4{pm}0.4$, $4.8{pm}0.4$, respectively). Protein concentration of the BAL fluid of the HT-V group was lower than that of the NT-V group($1,374{pm}726;ug/ml$ vs $3,471{pm}1,985;ug/ml$;p=0.003). Lactic dehydrogenase level of the BAL fluid of the HT-V group was lower than that of the NT-V group ($0.18{pm}0.10;unit/ml$ vs $0.43{pm}0.22;unit/ml$;p=0.046). Conclusions : Hypothermia attenuated pulmonary hemorrhage, permeability pulmonary edema, and alveolar cellular injuries associated with injurious mechanical ventilation, and preserved normal P-V characteristics of the lung in rats.