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犬早期实验性肾性高血压中的肠系膜血流动力学

Mesenteric hemodynamics in early experimental renal hypertension in dogs.

作者信息

Simon G, Pamnani M B, Dunkel J F, Overbeck H W

出版信息

Circ Res. 1975 Jun;36(6):791-8. doi: 10.1161/01.res.36.6.791.

Abstract

To investigate mesenteric hemodynamics in early perinephritic hypertension, we measured blood flows and intravascular pressures in innvervated, collateral-free, naturally perfused loops of ileum in 50 male mongrel dogs anesthetized with sodium pentobarbital. In addition, we studied venous pressure-volume relationships in temporarily occluded segments of mesenteric veins in vivo and in excised segments of mesenteric veins in vitro. In 10 dogs (group H-1), one kidney was wrapped in silk 11 days before study; in 15 other dogs (group H-2), one kidney was wrapped 4 weeks before study and the other was removed 2 weeks before study. Twenty-five additional dogs were prepared as normotensive controls: in 10 one kidney was sham-wrapped (group C-1), and in 15 one kidney was sham-wrapped and the other was removed (group C-2). A significant rise in mean arterial blood pressure occurred in groups H-1 and H-2. Compared to controls, (1) ileal blood flow in the hypertensive dogs (H-1 plus H-2) was increased by 17% (P smaller than 0.05), (2) calculated ileal vascular resistances (total and segmental) were unchanged (P smaller than 0.05), and (3) in vivo and in vitro mesenteric vein pressure-volume curves of H-2 (but not of H-1) hypertensive dogs were shifted in the direction of the pressure axis (P smaller than 0.05). These data suggest that in the early stages of perinephritic hypertension in dogs (1) ileal blood flow is increased. (2) ileal vascular resistance is not elevated, and (3) mesenteric venous compliance is reduced. Analysis of the venous pressure-volume curves suggests that the decreased venous compliance is attributable to factors other than smooth muscle contraction.

摘要

为研究早期肾周炎高血压时的肠系膜血流动力学,我们对50只戊巴比妥钠麻醉的雄性杂种犬,测量了其去神经、无侧支、自然灌注的回肠肠袢中的血流和血管内压力。此外,我们还研究了体内肠系膜静脉暂时闭塞段以及体外肠系膜静脉切除段的静脉压力-容量关系。10只犬(H-1组)在研究前11天用丝线包裹一侧肾脏;另外15只犬(H-2组)在研究前4周包裹一侧肾脏,另一侧肾脏在研究前2周切除。另有25只犬作为正常血压对照:10只犬一侧肾脏进行假包裹(C-1组),15只犬一侧肾脏假包裹,另一侧肾脏切除(C-2组)。H-1组和H-2组的平均动脉血压显著升高。与对照组相比,(1)高血压犬(H-1组加H-2组)的回肠血流增加了17%(P<0.05),(2)计算得出的回肠血管阻力(总阻力和节段阻力)未改变(P<0.05),(3)H-2组(而非H-1组)高血压犬的体内和体外肠系膜静脉压力-容量曲线向压力轴方向偏移(P<0.05)。这些数据表明,在犬肾周炎高血压的早期阶段,(1)回肠血流增加,(2)回肠血管阻力未升高,(3)肠系膜静脉顺应性降低。对静脉压力-容量曲线的分析表明,静脉顺应性降低归因于平滑肌收缩以外的因素。

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