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生长抑素对麻醉状态下人体的循环系统影响

Circulatory effects of somatostatin in anesthetized man.

作者信息

Tydén G, Samnegård H, Thulin L, Muhrbeck O, Efendić S

出版信息

Acta Chir Scand. 1979;145(7):443-46.

PMID:161458
Abstract

The effect of intravenous somatostatin (1 microgram.kg-1 over 1 min) on arterial pressure and on the blood flow to various splanchnic organs, skeletal muscle and brain tissue was studied by means of electromagnetic blood flow measurements in patients undergoing abdominal surgery or reconstructive surgery of the internal carotid artery. Somatostatin infusion reduced the blood flow in the common hepatic artery by 56%, in the splenic artery by 26%, in the ileocolic artery by 34% and in the left colic artery by 36%. External iliac artery blood flow was increased by 43% while internal carotid artery blood flow was unchanged. Mean arterial pressure was increased by 20%. It is suggested that these circulatory effects of somatostatin are due to a direct effect of somatostatin on vascular smooth muscle.

摘要

通过对接受腹部手术或颈内动脉重建手术的患者进行电磁血流测量,研究了静脉注射生长抑素(1微克·千克⁻¹,持续1分钟)对动脉血压以及对各内脏器官、骨骼肌和脑组织血流的影响。输注生长抑素使肝总动脉血流减少56%,脾动脉血流减少26%,回结肠动脉血流减少34%,左结肠动脉血流减少36%。髂外动脉血流增加43%,而颈内动脉血流未变。平均动脉压升高20%。提示生长抑素的这些循环效应是由于生长抑素对血管平滑肌的直接作用所致。

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