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急性血容量变化对犬空肠顺应性的影响。

Effects of acute volemic changes on jejunal compliance in dogs.

作者信息

Rola F H, Dos-Santos A A, Xavier-Neto J, Cristino-Filho G, Rocha C I, Gondim F A, Pereira J M, Capelo L R

机构信息

Departamento de Fisiologia e Farmacologia, Universidade Federal do Ceará, Fortaleza, CE, Brasil.

出版信息

Braz J Med Biol Res. 1989;22(4):523-31.

PMID:2590735
Abstract
  1. Jejunal compliance (delta V/delta P) was calculated from the intraluminal pressures measured in anesthetized dogs in an in situ upper jejunal pouch (40-50-ml capacity) with intraluminal volumes of 10, 20, 30, 40 and 50 ml of isotonic saline. 2. Measurements were made in the same animal during and after acute and sequential alterations of the extracellular fluid (ECF) volume obtained by: a) acute intravenous (iv) infusion of isotonic saline, b) acute hemorrhage, and c) iv reinfusion of isotonic saline. 3. Expansion of the ECF volume caused a significant, reversible downward shift of the compliance curve, i.e., the jejunal pouch became less receptive to liquid distension. After saline infusion was discontinued, compliance gradually returned to control levels. 4. Acute loss of a substantial volume of blood after ECF expansion gradually shifted the compliance curve upwards to levels significantly different from control, indicating that retraction of the ECF volume made the jejunal pouch more receptive to liquid distension. 5. Reinfusion of bled animals with saline rather than autologous blood also induced a significant decrease in jejunal compliance to below control levels. 6. The jejunal pouch behaved as a suitable preparation for monitoring in vivo modifications of compliance induced by acute changes in ECF volume, especially when it was nearly "half-full" (i.e., filled with 20 ml), suggesting a critical relationship between the volume capacity of the pouch and its fluid content. 7. These results suggest that the modulation of the jejunal portion of small intestine compliance is involved in the processes that balance the ECF volume during acute life-threatening situations such as accidental hyperhydration or hemorrhage.
摘要
  1. 空肠顺应性(ΔV/ΔP)通过在麻醉犬原位上腹部空肠袋(容量40 - 50毫升)中测量管腔内压力来计算,管腔内注入10、20、30、40和50毫升等渗盐水。2. 在同一动物身上进行测量,测量时间为通过以下方式急性和顺序性改变细胞外液(ECF)容量期间及之后:a)急性静脉内(iv)输注等渗盐水,b)急性出血,以及c)静脉内再输注等渗盐水。3. ECF容量扩张导致顺应性曲线显著、可逆地向下移位,即空肠袋对液体扩张的接受性降低。停止输注盐水后,顺应性逐渐恢复到对照水平。4. ECF扩张后大量失血导致顺应性曲线逐渐向上移位至与对照有显著差异的水平,表明ECF容量回缩使空肠袋对液体扩张更具接受性。5. 给失血动物输注盐水而非自体血也导致空肠顺应性显著降低至对照水平以下。6. 空肠袋是监测ECF容量急性变化引起的体内顺应性改变的合适标本,尤其是当它接近“半满”(即充满20毫升)时,这表明袋的容量与其液体含量之间存在关键关系。7. 这些结果表明,在意外水合过多或出血等急性危及生命的情况下,小肠空肠段顺应性的调节参与了平衡ECF容量的过程。

相似文献

1
Effects of acute volemic changes on jejunal compliance in dogs.急性血容量变化对犬空肠顺应性的影响。
Braz J Med Biol Res. 1989;22(4):523-31.
2
Acute changes in extracellular fluid volume modify the antroduodenal flow of saline in dogs: a possible physiological role.
Braz J Med Biol Res. 1988;21(5):1083-7.
3
Modifications of gastric compliance in dogs related to changes of extracellular fluid volume: a possible physiological role.
Braz J Med Biol Res. 1983 Apr;16(1):73-6.
4
Vascular retention of saline following acute and subacute hemorrhage in dogs.
Clin Invest Med. 1990 Aug;13(4):178-82.
5
Study of the effect of ileal distension on the motor activity of the jejunum, and of jejunal distension on the motor activity of the ileum.回肠扩张对空肠运动活性的影响以及空肠扩张对回肠运动活性的影响的研究。
Hepatogastroenterology. 2007 Oct-Nov;54(79):2007-10.
6
Acute extracellular fluid volume changes increase ileocolonic resistance to saline flow in anesthetized dogs.
Braz J Med Biol Res. 1997 Aug;30(8):999-1008. doi: 10.1590/s0100-879x1997000800014.
7
Intestinal transport of water and electrolytes during extracellular volume expansion in dogs.犬细胞外液量扩张时水和电解质的肠道转运
J Clin Invest. 1971 Dec;50(12):2569-79. doi: 10.1172/JCI106757.
8
Distribution of saline following acute volume loading: postural effects.
Clin Invest Med. 1990 Aug;13(4):165-77.
9
Heart atrial auriectomy reduces the diuretic and natriuretic responses to a hypertonic saline load.
Physiol Bohemoslov. 1987;36(2):171-3.
10
Study of the effect of jejuno-ileal distension on the motor activity of the stomach with evidence of "entero-gastric inhibitory reflex".空肠回肠扩张对胃运动活动影响的研究及“肠-胃抑制反射”证据
Hepatogastroenterology. 2003 Nov-Dec;50(54):1966-9.

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