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猫肠系膜动脉闭塞时血流动力学及心肌反应的药理学研究

Pharmacology of the hemodynamic and myocardial response to occlusion of the mesenteric artery in the cat.

作者信息

Tuttle R S, McCleary M

出版信息

Arch Int Pharmacodyn Ther. 1977 Apr;226(2):270-80.

PMID:195546
Abstract

Occlusion of the superior mesenteric artery in the cat produces increases in heart rate, systemic pressure, cardiac output and muscle blood flow. Total peripheral resistance is reduced and regional resistance in skin increased. Blockade of the right and left cardiac nerves with xylocaine lowered basal heart rate and reduced cardiac output. The increase in heart rate produced by occlusion of the artery (MAO) was prevented by blockade of the stellate ganglia and cardiac nerves. Propranolol lowered basal heart rate and cardiac output and subsequently blocked the increase in both parameters during MAO. The increase in muscle blood flow was also blocked resulting in an increase in total resistance. We conclude that, in the cat, MAO reflexly increases myocardial tone and enhances venous return from muscle, the latter by a reflex beta adrenergic vasodilation. Both factors provide for the increase in cardiac output. A reflex beta adrenergic vasodilation in muscle, evoked by vasoconstriction in the mesenteric bed, may contribute to survival in the hemorrhaged animals, since capillary exchange in muscle may be increased by this reflex and fluid shifted from the extra--to the intravascular compartment.

摘要

猫的肠系膜上动脉闭塞会导致心率、体循环压力、心输出量和肌肉血流量增加。总外周阻力降低,皮肤区域阻力增加。用利多卡因阻断左右心神经可降低基础心率并减少心输出量。动脉闭塞(MAO)所引起的心率增加可通过阻断星状神经节和心神经来预防。普萘洛尔降低基础心率和心输出量,并随后阻断MAO期间这两个参数的增加。肌肉血流量的增加也被阻断,导致总阻力增加。我们得出结论,在猫中,MAO反射性地增加心肌张力并增强肌肉的静脉回流,后者通过反射性β肾上腺素能血管舒张实现。这两个因素都导致心输出量增加。肠系膜床血管收缩所诱发的肌肉反射性β肾上腺素能血管舒张,可能有助于出血动物的存活,因为这种反射可能会增加肌肉中的毛细血管交换,并使液体从血管外转移到血管内。

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