Shibayama Y, Nakata K
Department of Pathology, Osaka Medical College, Japan.
J Gastroenterol Hepatol. 1991 Nov-Dec;6(6):591-4. doi: 10.1111/j.1440-1746.1991.tb00916.x.
To examine the degree of influence of the hepatic artery on microcirculation in the liver, microscopic observation of blood flow in the hepatic minute blood vessels and the sinusoids and pressure measurements at key points in hepatic vascular pathways in vivo were performed before and after hepatic artery ligation in normal and cirrhotic rats. In normal rats, portal vein pressure (109 mmH2O) fell 10 mmH2O after hepatic artery ligation, but the pressures of the terminal portal venule, the terminal hepatic venule and the inferior vena cava did not change. In cirrhotic rats, portal vein pressure (206 mmH2O) and terminal portal venule pressure (106 mmH2O) fell 23 and 10 mmH2O after hepatic artery ligation respectively: the pressures in the terminal hepatic venule and the inferior vena cava did not change. These results suggests that the pressure transmitted from the hepatic artery was mostly supplied to the intrahepatic portal vein in normal rats and both to the intrahepatic portal vein and to the sinusoids in cirrhotic rats. In both normal and cirrhotic rats, however, the pressure transmitted from the hepatic artery was about 10 per cent of the initial portal vein pressure, and the blood flow in minute vessels and sinusoids did not change after hepatic artery ligation. Accordingly, it is believed that the hepatic artery plays only a small role in the haemodynamics of the liver in both normal and cirrhotic rats, irrespective of the distribution and manner of the hepatic arterial termination.
为研究肝动脉对肝脏微循环的影响程度,在正常大鼠和肝硬化大鼠体内,于肝动脉结扎前后对肝内微小血管和肝血窦内的血流进行了显微镜观察,并对肝血管通路关键部位的压力进行了测量。正常大鼠肝动脉结扎后门静脉压力(109 mmHg₂O)下降10 mmHg₂O,但终末门静脉、终末肝静脉和下腔静脉压力未变。肝硬化大鼠肝动脉结扎后门静脉压力(206 mmHg₂O)和终末门静脉压力(106 mmHg₂O)分别下降23 mmHg₂O和10 mmHg₂O,终末肝静脉和下腔静脉压力未变。这些结果表明,在正常大鼠中,肝动脉传递的压力主要供应给肝内门静脉,而在肝硬化大鼠中则同时供应给肝内门静脉和肝血窦。然而,在正常大鼠和肝硬化大鼠中,肝动脉传递的压力约为初始门静脉压力的10%,肝动脉结扎后微小血管和肝血窦内的血流均未改变。因此,人们认为,无论肝动脉终末的分布和方式如何,肝动脉在正常大鼠和肝硬化大鼠肝脏的血流动力学中仅起很小的作用。