Tsukada K, Katoh H, Iga Y, Tomiyama T, Okamura N, Sugimoto F, Ohtani T, Iiai T, Sakaguchi T, Yoshida K
Department of Surgery, Niigata University School of Medicine, Japan.
Gastroenterol Jpn. 1992 Jun;27(3):341-7. doi: 10.1007/BF02777752.
The effects of portal, hepatic arterial and femoral venous administration of prostaglandin E1 (PGE) on portal venous flow (PVF) and hepatic arterial flow HAF were examined before and after 70% hepatectomy in anesthetized dogs. In the hepatectomized condition, portal venous administration of PGE (0.5 microgram/kg/min) caused an increase in PVF without any change in systemic arterial pressure (SAP). HAF was unchanged following the injection. The portal effect of PGE on PVF was dose-dependent, and a reduction in portal venous resistance was seen. However, the same dose of PGE failed to change PVF under intact liver conditions. Hepatic arterial administration of PGE (0.5 microgram/kg/min) brought no significant change in PVF or HAF, with or without hepatectomy. Femoral venous administration of PGE (0.5 micrograms/kg/min) produced an increase in PVF concomitant with a significant decrease in SAP. HAF showed no change after the injection. A decrease in PVR was seen only in the hepatectomized condition. It is concluded that PGE is potent in increasing PVF in the hepatectomized condition, and the portal vasculature is involved as the site of action.
在麻醉犬70%肝切除术前和术后,研究了经门静脉、肝动脉和股静脉给予前列腺素E1(PGE)对门静脉血流(PVF)和肝动脉血流(HAF)的影响。在肝切除状态下,经门静脉给予PGE(0.5微克/千克/分钟)可使PVF增加,而体循环动脉压(SAP)无任何变化。注射后HAF未改变。PGE对PVF的门静脉效应呈剂量依赖性,门静脉阻力降低。然而,相同剂量的PGE在肝脏完整的情况下未能改变PVF。经肝动脉给予PGE(0.5微克/千克/分钟),无论有无肝切除术,PVF或HAF均无显著变化。经股静脉给予PGE(0.5微克/千克/分钟)可使PVF增加,同时SAP显著降低。注射后HAF无变化。仅在肝切除状态下观察到门静脉阻力降低。结论是,PGE在肝切除状态下能有效增加PVF,且门静脉系统是其作用部位。