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目的:用肺表面活性物质(PS)治疗肺灌洗兔急性呼吸窘迫综合征(ARDS)。方法:PS经气管插管注入肺内,分100mg·kg-1、150mg·kg-1和200mg·kg-1三个单次剂最组及100mg·kg-1×2、150mg·kg-1×2二个多次剂量组。结果:给PS后15分钟各治疗组PaO2显著增高,随后PaCO2下降、pH上升,肺顺应性改善,肺病理变化明显减轻。高剂量组疗效较低剂量组好,多次给药组较单次给药组好。结论:PS对肺灌洗兔ARDS有显著疗效。
OBJECTIVE: To treat pulmonary lavage acute respiratory distress syndrome (ARDS) with pulmonary surfactant (PS) in rabbits. Methods: PS was injected intratracheally into the lungs through the endotracheal tube and divided into three groups: 100mg · kg-1, 150mg · kg-1 and 200mg · kg-1 and 100mg · kg-1 × 2,150mg · kg-1 × 2 two multiple dose groups. Results: PaO2 was significantly increased in each treatment group 15 minutes after PS, then PaCO2 decreased, pH increased, lung compliance improved, and pulmonary pathology changed significantly. The high-dose group was better than the low-dose group, and the multiple-dose group was better than the single-dose group. Conclusion: PS has a significant effect on lung lavage ARDS in rabbits.