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动脉内输注儿茶酚胺对犬胃循环的血流动力学影响。

Hemodynamic effects of intra-arterial infusions of catecholamines on the canine gastric circulation.

作者信息

Zinner M J, Kerr J C, Reynolds D G

出版信息

Surgery. 1975 Sep;78(3):381-8.

PMID:239457
Abstract

The effects of intra-arterial infusions of epinephrine, norepinephrine, and isoproterenol upon right and left gastric blood flow were studied in anesthetized dogs. Blood flow was measured electromagnetically before and after adrenergic blockade. Infusion of epinephrine (0.05 mug Kg.(-1) min.(-1)) resulted in vasoconstriction (-50 +/- 6 ml. min.(-1)) with autoregulatory escape in the right gastric artery (RGA) and constriction (-41 +/- 8 ml. min.(-1)) followed by significant dilation (+ 56 +/- 10 ml. min.(-1)) in the left gastric artery (LGA). Alpha adrenergic blockade with phenoxybenzamine produced only a dilator response in both RGA and LGA to epinephrine infusion and beta adrenergic blockade resulted in a constrictor response with no autoregulatory escape. Norepinephrine infusions produced a constrictor response of similar magnitude as epinephrine but with little evidence of autoregulatory escape in either RGA and LGA. Alpha adrenergic blockade significantly attenuated this response in both circulations. Isoproterenol is a dilator in both circulations and its response is attenuated only by beta adrenergic blockade. This study demonstrates that the canine stomach has two regionally distinct circulations with the fundus and body exhibiting a greater dilator response than the antrum and pylorus.

摘要

在麻醉犬身上研究了动脉内输注肾上腺素、去甲肾上腺素和异丙肾上腺素对胃左右侧血流的影响。在肾上腺素能阻断前后,用电磁法测量血流。输注肾上腺素(0.05微克·千克⁻¹·分钟⁻¹)导致胃右动脉(RGA)血管收缩(-50±6毫升·分钟⁻¹)并伴有自动调节逃逸,胃左动脉(LGA)则先收缩(-41±8毫升·分钟⁻¹),随后显著扩张(+56±10毫升·分钟⁻¹)。用酚苄明进行α肾上腺素能阻断后,RGA和LGA对肾上腺素输注仅产生扩张反应,而β肾上腺素能阻断则导致收缩反应且无自动调节逃逸。去甲肾上腺素输注产生的收缩反应与肾上腺素相似,但在RGA和LGA中几乎没有自动调节逃逸的证据。α肾上腺素能阻断在两个循环中均显著减弱了这种反应。异丙肾上腺素在两个循环中均为扩张剂,其反应仅被β肾上腺素能阻断减弱。本研究表明,犬胃有两个区域不同的循环,胃底和胃体比胃窦和幽门表现出更大的扩张反应。

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