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BLOOD GAS ANALYSIS IN EXPERIMENTAL SCOLIOSIS

机译:实验性血液学中的血液分析

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Thoracic scoliosis was produced in 24 New Zealand rabbits by 2 methods of rib resection. Scoliosis was detected in X-ray film taken one month and 3 or 5 months after operation. Aortic blood specimens were obtained for gas analysis in 18 of the 24 animals. Out of the 18 animals, 5 had scoliosis with a curvature less than 15°, another 5 with a curvature between 18°-27°, while the remaining 8 with a curvature greater than 30°. The blood gas of the scoliotic rabbits was compared with that of 6 normal adult rabbits. With increase in scoliotic curvature the PaCO2 increased, while the PaO2 decreased. The PaCO2 and PaO2 of the group with curvature greater than 30°showed sigrificant difference as compared with those of the normal animals (P0.01 and P0.001 respectively ), signifying a hypoxemia with severe scoliosis.Scoliotic curvature of patients greater than 30°constitutes an indication for surgical correction. As these scoliotic patients may have subclinical abnormal pulmonary function with potential danger of post-operative respiratory complication, orthopaedic surgeons should give them careful consideration before resorting to operation.
机译:通过两种肋骨切除方法在24只新西兰兔中产生了胸椎侧凸。术后1个月和3或5个月拍摄的X射线胶片检测到脊柱侧弯。在24只动物中的18只中获得了主动脉血标本用于气体分析。在这18只动物中,有5具弯曲度小于15°的脊柱侧弯,另5具弯曲度在18°-27°之间的脊柱侧弯,其余8具弯曲度大于30°。将脊柱侧弯兔的血气与6只正常成年兔的血气进行比较。随着脊柱弯曲度的增加,PaCO 2 增加,而PaO 2 减少。曲率大于30°的组的PaCO 2 和PaO 2 与正常动物相比有显着差异(分别为P <0.01和P <0.001)表示严重的脊柱侧弯的低氧血症。患者的脊柱侧弯弯曲度大于30°时,可作为手术矫正的指征。由于这些脊柱侧弯患者可能具有亚临床性肺功能异常,并有术后呼吸系统并发症的潜在危险,因此,骨科医生应在采取手术前给予仔细考虑。

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