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血管对α肾上腺素能受体阻滞的反应:Ⅱ.狗前肢静脉和动脉段对肾上腺素能刺激的反应。

Vascular responses after alpha adrenergic receptor blockade: II. Responses of venous and arterial segments to adrenergic stimulation in the forelimb of dog.

机构信息

Cardiovascular Research Laboratories, Department of Internal Medicine, University of Iowa, College of Medicine, Iowa City, Iowa.

出版信息

J Clin Invest. 1968 Jan;47(1):10-9. doi: 10.1172/JCI105700.

Abstract

The effects of nerve stimulation and of intraarterial injections of norepinephrine on arterial and venous resistances were studied in the perfused forelimb of dog before and after administration of the alpha adrenergic receptor blocker phenoxybenzamine.Pressures were recorded from the perfused brachial artery and a small metacarpal vein in the forepaw. Blood flow to the whole forelimb was maintained constant. Changes in perfusion pressure in the brachial artery reflected primarily changes in arterial resistance and changes in small vein pressure reflected changes in resistance of venous segments downstream from the point of pressure measurement.Alpha receptor blockade reduced vasoconstrictor responses to both nerve stimulation and norepinephrine. Responses to angiotensin, used in these experiments as an internal control, were not blocked consistently in a dose-related manner indicating that the effects of phenoxybenzamine were specific to adrenergic stimuli.Increases in venous pressure in response to norepinephrine and to nerve stimulation were blocked almost completely whereas increases in arterial pressure were reduced only in part by the blocker. The more effective reduction of pressor responses in the small vein was not caused by a passive reduction in blood flow through the paw nor was it caused by a reduction in the concentration of norepinephrine in the venous effluent reaching the venous segments.This differential effect of alpha receptor blockade on increases in venous and arterial resistances may account for the beneficial effect of phenoxybenzamine in shock.

摘要

在给予α-肾上腺素能受体阻滞剂酚苄明前后,研究了神经刺激和去甲肾上腺素的动脉内注射对狗灌流前肢的动脉和静脉阻力的影响。从灌流的肱动脉和前肢的一个小掌静脉记录压力。整个前肢的血流保持恒定。肱动脉灌注压的变化主要反映了动脉阻力的变化,小静脉压的变化反映了测量点下游静脉段阻力的变化。α受体阻断减少了对神经刺激和去甲肾上腺素的血管收缩反应。在这些实验中,血管紧张素被用作内部对照,其反应不是以剂量相关的方式一致阻断,这表明酚苄明的作用是特异性的肾上腺素刺激。对去甲肾上腺素和神经刺激的静脉压升高的反应几乎被完全阻断,而阻断剂仅部分降低动脉压。在小静脉中对加压反应的更有效降低不是由于通过爪子的血流被动减少引起的,也不是由于到达静脉段的静脉流出物中去甲肾上腺素浓度降低引起的。α-肾上腺素能受体阻断对静脉和动脉阻力增加的这种不同影响可能解释了酚苄明在休克中的有益作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab60/297143/47302d214ae7/jcinvest00236-0017-a.jpg

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本文引用的文献

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FOREARM VENOUS RESPONSES TO STIMULATION OF ADRENERGIC RECEPTORS.
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VENOUS AND ARTERIAL RESPONSES TO STIMULATION OF BETA ADRENERGIC RECEPTORS.
Am J Physiol. 1965 Aug;209:383-9. doi: 10.1152/ajplegacy.1965.209.2.383.
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Effects of denervation and vasoactive agents on vascular pressures and weight of dog forelimb.
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An evaluation of adrenergic blockade of the mammalian heart.
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