Journal of Okayama Medical Association
Published by Okayama Medical Association

Full-text articles are available 3 years after publication.

術後急性肺水腫に関する実験的研究 第1編 術後急性肺水腫の発生に及ぼす急性出血の影響に関する実験的研究

坂本 昌士 岡山大学医学部第1外科教室
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Ten normal adult dogs were subjected twice to the acute loss of 7-10 cc/kg blood at the intervals of 1 hour and killed 1 hour later and pathological changes in the respiratocirculatory system and lungs were investigated. The results were as follow: 1) Although the pulse became rapid and weak, and the arterial pressure fell abruptly after the acute blood loss, they gradually tended to recover, but not quite up to the normal until killing. 2) The respiratory rate and tidal volume markedly increased, but oxygen consumption gradually decreased. These findings suggested the occurrence of changes disturbing the effective ventilation in the lungs. 3) Electrocardiographically, the P-pulmonale by the increased resistance of pulmonary circulation were observed in few dogs. 4) Microscopically, congestion and hemorrhages in the lungs and the partial breakdown of alveolar structures were observed, but pulmonary edema was never found. 5) Pulmonary edema could not be caused by the acute blood loss mentioned, but the preparatory conditions of it were considered, regarding the increased resistence of pulmonary circulation, anoxia and the increase of the blood volume of the lungs.