Arimura H, Bosnjak Z J, Hoka S, Kampine J P
Department of Anesthesiology, Medical College of Wisconsin, Milwaukee 53226.
Anesth Analg. 1991 Sep;73(3):319-26. doi: 10.1213/00000539-199109000-00016.
To examine the effects of halothane on segmental vascular responses to hypoxia, we used cardiopulmonary bypass with venous outflow divided into three compartments (splanchnic, coronary, and "other") in dogs anesthetized with pentobarbital sodium. The reservoir volume changes represented the inverted changes in systemic blood volume (SBV). In addition, sympathetic efferent nerve activity (SENA) was simultaneously recorded from the ventral ansa subclavian nerve. Experiments were done in two groups: severe hypoxia (PO2 of 19 mm Hg) and moderate hypoxia (PO2 of 50 mm Hg). Hypoxia provoked a significant decrease in SBV of 22.3 +/- 3.1 mL/kg and 10.5 +/- 1.6 mL/kg during severe and moderate hypoxia, respectively. Two percent end-tidal halothane attenuated the decrease in SBV to 10.3 +/- 1.3 mL/kg during severe hypoxia, and 1% halothane attenuated the decrease to 3.7 +/- 1.4 mL/kg during moderate hypoxia. Subsequent chemoreceptor denervation in the presence of 1% halothane completely abolished the moderate hypoxia-induced decrease in SBV. In the presence of halothane, vascular resistance during hypoxia was significantly less than that during control conditions. Sympathetic efferent nerve activity increased significantly during severe and moderate hypoxia by about 180% and 55%, respectively. During severe hypoxia, halothane did not cause any change in the response of SENA, whereas during moderate hypoxia, halothane tended to decrease SENA, but not significantly, and subsequent chemoreceptor denervation completely abolished the increase in SENA. Coronary resistance showed a hypoxia-induced reduction that was not influenced by halothane. These results suggest that acute hypoxia causes a decrease in SBV dependent on the severity of hypoxia.(ABSTRACT TRUNCATED AT 250 WORDS)
为研究氟烷对节段性血管对缺氧反应的影响,我们在戊巴比妥钠麻醉的犬身上采用体外循环,将静脉流出道分为三个腔室(内脏、冠脉和“其他”)。储血器容积变化代表全身血容量(SBV)的反向变化。此外,同时从锁骨下神经腹袢记录交感传出神经活动(SENA)。实验分为两组:重度缺氧(动脉血氧分压为19 mmHg)和中度缺氧(动脉血氧分压为50 mmHg)。在重度和中度缺氧期间,缺氧分别导致SBV显著下降,降幅为22.3±3.1 mL/kg和10.5±1.6 mL/kg。呼气末2%氟烷使重度缺氧期间SBV的下降幅度减弱至10.3±1.3 mL/kg,1%氟烷使中度缺氧期间SBV的下降幅度减弱至3.7±1.4 mL/kg。随后在1%氟烷存在的情况下进行化学感受器去神经支配,完全消除了中度缺氧引起的SBV下降。在氟烷存在的情况下,缺氧期间的血管阻力显著低于对照条件下的血管阻力。在重度和中度缺氧期间,交感传出神经活动分别显著增加约180%和55%。在重度缺氧期间,氟烷对SENA的反应没有引起任何变化,而在中度缺氧期间,氟烷倾向于降低SENA,但不显著,随后的化学感受器去神经支配完全消除了SENA的增加。冠脉阻力显示出缺氧诱导的降低,不受氟烷影响。这些结果表明,急性缺氧导致SBV下降,且与缺氧的严重程度有关。(摘要截短于250字)