Jönson C, Holm L, Jansson T, Fändriks L
Department of Physiology, University of Göteborg, Sweden.
Am J Physiol. 1990 Aug;259(2 Pt 1):G179-83. doi: 10.1152/ajpgi.1990.259.2.G179.
The effects of bleeding-induced hypovolemia on duodenal blood flow (microsphere technique), arterial [HCO3-], and duodenal HCO3- secretion (in situ titration) were investigated in chloralose-anesthetized rats. A 10% decrease in blood volume reduced duodenal HCO3- secretion by 44%, duodenal blood flow by 31%, and arterial [HCO3-] by 11%. In a group with cervically cut vagal nerves, basal duodenal HCO3- secretion was greater than 50% lower compared with controls. Basal blood flow and arterial [HCO3-] were on similar levels as in nonvagotomized animals. Furthermore, bleeding failed to lower duodenal alkaline output in rats with cut vagal nerves, although blood flow and arterial [HCO3-] were reduced to a similar extent as in the vagally intact controls. In a yohimbine-treated group, a 10% bleeding reduced duodenal blood flow by 28% and arterial [HCO3-] by 7% without influencing duodenal HCO3- secretion. We suggest that the hypovolemia-induced inhibition of duodenal alkaline secretion is not caused by a decrease in blood and/or arterial [HCO3-]. Instead, other factors may be of importance, for example, neural effects on enteric secretomotor neurons or directly on the secreting epithelium.
在水合氯醛麻醉的大鼠中,研究了出血性低血容量对十二指肠血流量(微球技术)、动脉血[HCO₃⁻]以及十二指肠HCO₃⁻分泌(原位滴定法)的影响。血容量减少10%可使十二指肠HCO₃⁻分泌减少44%,十二指肠血流量减少31%,动脉血[HCO₃⁻]减少11%。在一组切断颈迷走神经的大鼠中,十二指肠基础HCO₃⁻分泌比对照组低50%以上。基础血流量和动脉血[HCO₃⁻]与未切断迷走神经的动物处于相似水平。此外,尽管血流量和动脉血[HCO₃⁻]的降低程度与迷走神经完整的对照组相似,但出血未能降低切断迷走神经大鼠的十二指肠碱性分泌量。在一组育亨宾处理的大鼠中,10%的出血使十二指肠血流量减少28%,动脉血[HCO₃⁻]减少7%,但不影响十二指肠HCO₃⁻分泌。我们认为,低血容量引起的十二指肠碱性分泌抑制不是由血液和/或动脉血[HCO₃⁻]的减少所致。相反,其他因素可能很重要,例如,神经对肠分泌运动神经元或直接对分泌上皮的影响。