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犬心脏机械性能增强对心脏淋巴液流速的影响。

Effects of increased cardiac mechanical performances on flow rates of cardiac lymph in dogs.

作者信息

Takenaka F, Araki H

出版信息

Pflugers Arch. 1977 Jul 29;370(1):31-6. doi: 10.1007/BF00707942.

Abstract

Relationship between flow rates of cardiac lymph (LF), and coronary blood flow (CF), coronary perfusion pressure (PP), left ventricular peak systolic pressure (LVSP) and heart rate (HR) was studied in open-chest dogs. Intra-coronary administration of catecholamines (CA) and electrical stimulation of the cardiac sympathetic nerve (ES) increased LF transiently with a concomitant rise in the cardiac mechanical performance, while dipyridamole induced no change in LF in spite of a marked increase in CF. Isoproterenol at does of 0.3 and 3x10(8) g/kg induced an increasein LF to 119 +/- 4 and 167 +/- 20% (mean +/- SE); norepinephrine, 0.3 and 3 X 10(7) g/kg, to 118 +/- r and 141 +/- 13%; ES AT 5 and 20 Hz, to 135 +/- 11 and 167 +/- 10%, respectively. Peak responses of LF correlated with changes in LVSP (R = 0.59, N l1,P less than 0.001), CF Tr = 0.53, n = 51, P less than 0.001), PP (r = 0.49, n = 51, P less than 0.001) but not with changes in HR (r = 0.27, n = 51, 0.05 less than P less than 0.10). Cardiac pacing also showed a poor correlation between the changes in LF and HR under the same LVSP within the changes in HR up to 134% of control value (r = -0.12, n = 17, P GREATER THAN 0.50). It is concluded that LF is independent of changes in HR, and increased LF after CA or ES may be caused mainly by an augmented propulsive force.

摘要

在开胸犬身上研究了心淋巴流量(LF)与冠状动脉血流量(CF)、冠状动脉灌注压(PP)、左心室收缩压峰值(LVSP)及心率(HR)之间的关系。冠状动脉内注射儿茶酚胺(CA)及电刺激心脏交感神经(ES)可使LF短暂增加,同时心脏机械性能增强,而双嘧达莫尽管使CF显著增加,但对LF无影响。0.3和3×10⁻⁸g/kg的异丙肾上腺素可使LF分别增加至119±4%和167±20%(平均值±标准误);0.3和3×10⁻⁷g/kg的去甲肾上腺素分别使其增加至118±r%和141±13%;5和20Hz的ES分别使其增加至135±11%和167±10%。LF的峰值反应与LVSP的变化相关(R = 0.59,N = 11,P < 0.001)、CF(Tr = 0.53,n = 51,P < 0.001)、PP(r = 0.49,n = 51,P < 0.001),但与HR的变化无关(r = 0.27,n = 51,0.05 < P < 0.10)。在心率变化至对照值的134%范围内,相同LVSP条件下心脏起搏时,LF变化与HR之间的相关性也很差(r = -0.12,n = 17,P > 0.50)。结论是LF与HR的变化无关,CA或ES后LF增加可能主要由推进力增强所致。

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