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犬内毒素休克时门静脉顺应性

Portal venous compliance in canine endotoxin shock.

作者信息

Abel F L, Beck R R

机构信息

Department of Physiology, University of South Carolina, School of Medicine, Columbia 29208.

出版信息

Circ Shock. 1991 Oct;35(2):96-101.

PMID:1777951
Abstract

The response of the small intestinal vascular bed to endotoxin and ibuprofen was determined in mongrel dogs under pentobarbital anesthesia. Blood flow was measured in the superior mesenteric artery and pressures in the artery and portal vein. Venous compliance was calculated from the rate of pressure rise in the occluded portal vein at a constant arterial inflow. The response to endotoxin was followed for 1 hr, ibuprofen was given, and the response was followed for a second hour. Arterial pressure and mesenteric flow decreased after endotoxin, accompanied by an increase in venous compliance and in the compliance/resistance ratio. Treatment with ibuprofen increased arterial pressure but did not improve blood flow; however, it effectively reversed the changes in compliance. The results indicate a loss of arterial vasomotor tone in response to endotoxin which is not shared by the portal venous system. This may result in fluid loss into the intestinal bed. Ibuprofen restored arterial tone and released the venous constriction, but did not significantly alter the metabolic responses to endotoxin.

摘要

在戊巴比妥麻醉下,测定杂种犬小肠血管床对内毒素和布洛芬的反应。测量肠系膜上动脉的血流量以及该动脉和门静脉的压力。根据在恒定动脉流入情况下阻塞门静脉时压力上升的速率计算静脉顺应性。对内毒素的反应持续观察1小时,给予布洛芬后,再持续观察1小时。内毒素作用后动脉压和肠系膜血流量降低,同时静脉顺应性以及顺应性/阻力比增加。布洛芬治疗可升高动脉压,但未改善血流量;然而,它有效逆转了顺应性的变化。结果表明,内毒素作用下动脉血管运动张力丧失,而门静脉系统未出现这种情况。这可能导致液体流失到肠床。布洛芬恢复了动脉张力并解除了静脉收缩,但未显著改变对内毒素的代谢反应。

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