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犬颈动脉窦神经刺激和出血时的肾内血流情况

Intrarenal blood flow in carotid sinus nerve stimulation and hemorrhage in dogs.

作者信息

Passmore J C, Strauss H L, Kolozsi W Z

出版信息

Kidney Int. 1975 Sep;8(3):135-9. doi: 10.1038/ki.1975.92.

Abstract

The present study was undertaken to compare the role of the sympathetic nervous system, in hemorrhage, with that of hypotension in producing renal blood flow (RBF) redistribution. Ten mongrel dogs were prepared for the determination of RBF distrubition by injecting 85Kr dissolved in saline into the renal artery to obtain renal radioactivity curves. RBF distribution was determined a) at control, b) during a 15-min period of hypotension produced by electrical stimulation (10 v-60Hz) of the left carotid sinus nerve (nerve of Hering), c) 15 min after hemorrhage to a blood pressure equivalent to that of stimulation and d) during hemorrhage plus a 15-min period of stimulation. Hypotension caused by stimulation left component I blood flow unchanged (at approximately 492 ml/min/100 g) but resulted in an increase in component II flow from 93 +/- 8 to 155 +/- 20 ml/min/100 g. Hemorrhage caused a 60% reduction in component I blood flow rate, leaving component II unchanged. Partial reversal of hemorrhage effects on distrubiton of RBF was obtained by restimulation of the nerve of Hering. It appears that RBF distribution, as controlled by the carotid sinus, may involve primarily component I flow, with the redistribution between components I and II during hemorrhage possibly involving other mechanisms.

摘要

本研究旨在比较交感神经系统在出血过程中的作用与低血压在产生肾血流(RBF)重新分布方面的作用。选用10只杂种狗,通过向肾动脉注射溶解于生理盐水中的85Kr以获取肾脏放射性曲线,从而测定RBF分布。RBF分布的测定时间点如下:a)对照期;b)在通过电刺激(10伏 - 60赫兹)左颈动脉窦神经(赫林神经)产生的15分钟低血压期间;c)出血至与刺激时相同血压水平后15分钟;d)出血期间加15分钟刺激。刺激引起的低血压使成分I血流保持不变(约为492毫升/分钟/100克),但导致成分II血流从93±8增加至155±20毫升/分钟/100克。出血使成分I血流速率降低60%,而成分II保持不变。通过再次刺激赫林神经,出血对RBF分布的影响得到部分逆转。似乎由颈动脉窦控制的RBF分布可能主要涉及成分I血流,出血期间成分I和II之间的重新分布可能涉及其他机制。

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