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侧支血管结扎和电刺激预处理对犬背阔肌血流的影响。

Effects of collateral blood vessel ligation and electrical conditioning on blood flow in dog latissimus dorsi muscle.

作者信息

Mannion J D, Velchik M, Hammond R, Alavi A, Mackler T, Duckett S, Staum M, Hurwitz S, Brown W, Stephenson L W

机构信息

University of Pennsylvania, School of Medicine, Philadelphia.

出版信息

J Surg Res. 1989 Oct;47(4):332-40. doi: 10.1016/0022-4804(89)90144-3.

Abstract

Utilization of skeletal muscle as a myocardial substitute requires it to undergo two major modifications: mobilization to the site of action and adaptation to continuous activity. We have examined the effects of collateral blood vessel ligation, which would accompany mobilization, on blood flow in control and electrically conditioned canine latissimus dorsi (LD) muscle. Blood flows were measured at rest and during a vigorous isometric fatigue test. In 22 control muscles, electrical stimulation during the fatigue test resulted in a sevenfold increase in muscle blood flow (0.26 +/- 0.18 ml/g/min at rest, 1.69 +/- 0.84 ml/g/min during stimulation). No difference was detected in flow to distal and proximal portions of the muscle. In three muscles where collateral vessels were ligated immediately before measurement of blood flow, flow in the proximal portion of the muscle was not significantly different from control, but in the distal portion, stimulation failed to elicit an increase in flow (0.12 +/- 0.13 ml/g/min at rest, 0.16 +/- 0.07 ml/g/min during stimulation). In animals allowed a 3-week recovery period following collateral vessel ligation, stimulation-induced increases in blood flow were detected but remained lower than control. Muscles which had been conditioned by continuous electrical stimulation for 6-7 weeks at 2 or 10 Hz generated less peak isometric tension than controls (peak tension = 4.5 +/- 1.7 kg control, 2.4 +/- 0.7 kg following 2 Hz conditioning, 1.6 +/- 0.4 kg following 10 Hz conditioning). However, these muscles demonstrated an increased resistance to fatigue.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

将骨骼肌用作心肌替代物需要它进行两项主要改变

转移至作用部位并适应持续活动。我们研究了伴随转移的侧支血管结扎对对照犬和经电刺激适应的背阔肌(LD)血流的影响。在静息状态和剧烈等长疲劳试验期间测量血流。在22块对照肌肉中,疲劳试验期间的电刺激使肌肉血流增加了7倍(静息时为0.26±0.18毫升/克/分钟,刺激期间为1.69±0.84毫升/克/分钟)。未检测到肌肉远端和近端血流的差异。在血流测量前立即结扎侧支血管的三块肌肉中,肌肉近端的血流与对照无显著差异,但在远端,刺激未能引起血流增加(静息时为0.12±0.13毫升/克/分钟,刺激期间为0.16±0.07毫升/克/分钟)。在侧支血管结扎后给予3周恢复期的动物中,检测到刺激诱导的血流增加,但仍低于对照。以2或10赫兹连续电刺激6 - 7周的肌肉产生的等长收缩峰值张力低于对照(峰值张力=对照为4.5±1.7千克,2赫兹刺激后为2.4±0.7千克,10赫兹刺激后为1.6±0.4千克)。然而,这些肌肉表现出对疲劳的抵抗力增强。(摘要截断于250字)

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