Hartsock L A, Seaber A V, Urbaniak J R
Department of Surgery, Duke University Medical Center, Durham, NC 27710.
Microsurgery. 1991;12(1):55-9. doi: 10.1002/micr.1920120111.
This study demonstrates that intravenous epinephrine causes arterial vasospasm, but not venous constriction, in the microcirculation of the rat cremaster muscle. This effect can be blocked by a smooth muscle relaxant such as papaverine or an alpha receptor antagonist such as phentolamine. Circulating vasospastic agents such as epinephrine are important determinants of microcirculatory blood flow, and inhibition by pharmacologic means may enhance blood flow and survival in microvascular surgery.
本研究表明,静脉注射肾上腺素可导致大鼠提睾肌微循环中的动脉血管痉挛,但不会引起静脉收缩。这种效应可被平滑肌松弛剂(如罂粟碱)或α受体拮抗剂(如酚妥拉明)阻断。循环中的血管痉挛剂(如肾上腺素)是微循环血流的重要决定因素,通过药物手段抑制可能会增加微血管手术中的血流量并提高存活率。