Kadowitz P J, Joiner P D, Hyman A L
J Clin Invest. 1975 Aug;56(2):354-65. doi: 10.1172/JCI108100.
The contribution of the intrapulmonary lobar veins to the increase in pulmonary vascular resistance in response to sympathetic stimulation was studied under conditions of controlled blood flow in the anesthetized dog in which vascular pressures were measured simultaneously in the perfused lobar artery, an intrapulmonary lobar vein 2-3 mm in diameter and in the left atrium. Stimulation of the stellate ganglia at 3, 10, and 30 cycles/s increased pressure in the lobar artery and small vein in a stimulus-related manner but decreased pressure in the left atrium. Injection of norepinephrine into the perfused lobar artery also increased pressure in the lobar artery and small vein but decreased pressure in the left atrium. The increase in lobar arterial and venous pressure in response to either injected norepinephrine or to nerve stimulation was antagonized by an alpha receptor blocking agent. The rise in pressure in both labor artery and small vein with nerve stimulation but not administered norepinephrine was inhibited by an adrenergic nerve terminal blocking agent. The results suggest that under conditions of steady flow, sympathetic nerve stimulation increases the resistance to flow in the lung by constricting pulmonary veins and vessels upstream to the small veins, and that at each stimulus-frequency studied approximately 50% of the total increase in resistance may be due to venoconstriction. It is concluded that the increase in resistance to flow in the lung in response to nerve stimulation is thre result of activation of alpha adrenergic receptors by norephinephrine liberated from adrenergic nerve terminals in venous segments and in vessels upstream to samll veins, presumed to be small arteries.
在麻醉犬血流受控的条件下,研究了肺内叶静脉对交感神经刺激引起的肺血管阻力增加的作用。在该实验中,同时测量了灌注叶动脉、直径2 - 3毫米的肺内叶静脉和左心房的血管压力。以3、10和30次/秒的频率刺激星状神经节,叶动脉和小静脉压力以与刺激相关的方式升高,但左心房压力降低。向灌注叶动脉注射去甲肾上腺素也会使叶动脉和小静脉压力升高,但左心房压力降低。α受体阻断剂可拮抗注射去甲肾上腺素或神经刺激引起的叶动脉和静脉压力升高。肾上腺素能神经末梢阻断剂可抑制神经刺激而非注射去甲肾上腺素引起的叶动脉和小静脉压力升高。结果表明,在血流稳定的情况下,交感神经刺激通过收缩肺静脉和小静脉上游的血管来增加肺内血流阻力,并且在所研究的每个刺激频率下,总阻力增加的约50%可能归因于静脉收缩。得出的结论是,神经刺激引起的肺内血流阻力增加是静脉段和小静脉上游血管(推测为小动脉)中肾上腺素能神经末梢释放的去甲肾上腺素激活α肾上腺素能受体的结果。