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短期全身自动调节

Short-term systemic autoregulation.

作者信息

Borgdorff P, Gross D R, Burattini R, Duijst P, Westerhof N

机构信息

Laboratory for Physiology, Free University, Amsterdam, The Netherlands.

出版信息

Am J Physiol. 1990 Apr;258(4 Pt 2):H1097-102. doi: 10.1152/ajpheart.1990.258.4.H1097.

Abstract

We studied total systemic autoregulation in closed-chest, chloralose-anesthetized dogs. Cardiac out-put (previously implanted electromagnetic flow probe on ascending aorta) and aortic pressure were varied by reducing venous return using a balloon catheter in the vena cava. Compensatory action of the baroreflex was prevented by bilateral vagotomy and isolation of both carotid sinuses. To avoid high vessel tone carotid sinus pressure was set at the original baseline value using a pressurized blood reservoir. With each balloon inflation aortic flow and aortic pressure decreased and stabilized in about 1 min. Pressure and flow were allowed to return to base-line values after each balloon inflation in an attempt to minimize the activation of slower regulatory mechanisms. The steady-state pressure-flow relations could be fitted with a sigmoidal curve. The mean quality (0 less than Q less than 1) of autoregulation in eight dogs was 0.41 +/- 0.08 (SD). Autoregulation was found in the pressure range from 42 to 140 mmHg. The early appearance of total systemic autoregulation suggests that, in the intact animal, it may counteract baroreflex control.

摘要

我们对氯醛糖麻醉的开胸犬的全身自动调节功能进行了研究。通过使用腔静脉内的球囊导管减少静脉回流来改变心输出量(先前已在升主动脉植入电磁流量探头)和主动脉压力。双侧迷走神经切断术和双侧颈动脉窦隔离可防止压力感受器反射的代偿作用。为避免血管张力过高,使用加压储血器将颈动脉窦压力设定为原始基线值。每次球囊充气后,主动脉血流和主动脉压力均会下降,并在约1分钟内稳定下来。每次球囊充气后,压力和血流都恢复到基线值,以尽量减少较慢调节机制的激活。稳态压力-流量关系可用S形曲线拟合。8只犬的自动调节平均质量(0<Q<1)为0.41±0.08(标准差)。在42至140 mmHg的压力范围内发现了自动调节功能。全身自动调节功能的早期出现表明,在完整动物中,它可能会抵消压力感受器反射控制。

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