Suppr超能文献

人工呼吸量对通气去大脑大鼠心血管系统对α1和α2肾上腺素能受体激动剂反应的影响。

Effect of artificial respiratory volume on the cardiovascular responses to an alpha 1- and an alpha 2-adrenoceptor agonist in the air-ventilated pithed rat.

作者信息

MacLean M R, Hiley C R

机构信息

Department of Pharmacology, University of Cambridge.

出版信息

Br J Pharmacol. 1988 Apr;93(4):781-90. doi: 10.1111/j.1476-5381.1988.tb11463.x.

Abstract
  1. The effect of varying artificial respiratory volume (at a fixed rate of 54 min-1) on cardiac output, its distribution and tissue blood flows were determined with tracer microspheres in control pithed rats or during pressor responses to either the alpha 1-adrenoceptor agonist phenylephrine or the alpha 2-agonist xylazine. Phenylephrine was investigated in the presence of propranolol (3 mg kg-1). The rats were pithed under halothane anaesthesia. 2. A respiratory volume of 15 ml kg-1 produced modest hypercapnia (PaCO2 = 47 mmHg), hypoxia (PaO2 = 60 mmHg) and acidosis (pH = 7.35) relative to control animals respired at 20 ml kg-1 (PaCO2 = 32 mmHg; PaO2 = 77 mmHg; pH = 7.47). In rats respired at 15 ml kg-1, total peripheral resistance was lower, and cardiac output greater (due to increased stroke volume), than in the controls. Lowering respiratory volume reduced distribution of cardiac output to the kidneys, increased it to the large intestine and also increased blood flow through the gastrointestinal tract, skin and spleen. A respiratory volume of 30 ml kg-1 gave mild hypocapnia (PaCO2 = 19 mmHg), hyperoxia (PaO2 = 101 mmHg) and alkalosis (pH = 7.59) compared to 20 ml kg-1 but had no effect on cardiac output distribution or organ blood flow although heart rate was 29% greater at 30 ml kg-1. 3. Xylazine (500 micrograms bolus followed by 100 micrograms min-1 infusion) at all three respiratory volumes gave well-sustained mean pressor responses of 62-64 mmHg by increasing both total peripheral resistance and cardiac output (resulting from increased stroke volume). It increased the proportion of cardiac output passing to the liver, reduced that going to the spleen and gastrointestinal tract and increased cardiac, renal and hepatosplanchnic blood flows. 4. The secondary, relatively sustained, pressor effect of phenylephrine (5 micrograms bolus followed by 0.4 micrograms min-1 infusion, i.v.) varied at the 3 respiratory volumes with mean values from 32 to 53 mmHg. This response was due to both increased total peripheral resistance and cardiac output (resulting from greater stroke volumes and/or heart rates). Phenylephrine increased the proportion of cardiac output passing to the gastrointestinal tract, heart, kidneys and hepatosplanchnic bed and increased cardiac, hepatosplanchnic, renal and gastrointestinal blood flows. 5. Respiratory volume had no effect on the cardiovascular effects of xylazine. However, respiratory volume modified the effects of phenylephrine on heart rate and changed the relative contributions of stroke volume and heart rate to the increased cardiac output. It also influenced the effects of phenylephrine on cardiac output distribution to the liver, epididimides and hepatosplanchnic bed and on blood flow through skeletal muscle and the large intestine. 6. Changes in respiratory volume of air ventilated pithed rats thus influence cardiac output, its distribution and regional blood flows. Such changes can also differently influence the responses of various vascular beds to phenylephrine whilst having no effect on their responses to xylazine.
摘要
  1. 在麻醉致僵大鼠或对α1肾上腺素能受体激动剂去氧肾上腺素或α2激动剂赛拉嗪的升压反应过程中,使用示踪微球测定了不同人工呼吸量(固定频率为54次/分钟)对心输出量、其分布及组织血流的影响。在普萘洛尔(3毫克/千克)存在的情况下研究了去氧肾上腺素。大鼠在氟烷麻醉下致僵。2. 相对于以20毫升/千克呼吸的对照动物(动脉血二氧化碳分压 = 32毫米汞柱;动脉血氧分压 = 77毫米汞柱;pH = 7.47),15毫升/千克的呼吸量产生了适度的高碳酸血症(动脉血二氧化碳分压 = 47毫米汞柱)、低氧血症(动脉血氧分压 = 60毫米汞柱)和酸中毒(pH = 7.35)。在以15毫升/千克呼吸的大鼠中,总外周阻力较低,心输出量较高(由于每搏输出量增加),高于对照组。降低呼吸量会减少心输出量向肾脏的分布,增加向大肠的分布,还会增加通过胃肠道、皮肤和脾脏的血流量。与20毫升/千克相比,30毫升/千克的呼吸量产生轻度低碳酸血症(动脉血二氧化碳分压 = 19毫米汞柱)、高氧血症(动脉血氧分压 = 101毫米汞柱)和碱中毒(pH = 7.59),但对心输出量分布或器官血流无影响,尽管在30毫升/千克时心率高29%。3. 在所有三种呼吸量下,赛拉嗪(500微克推注,随后以100微克/分钟输注)通过增加总外周阻力和心输出量(由于每搏输出量增加)产生了持续良好的平均升压反应,升压幅度为62 - 64毫米汞柱。它增加了流向肝脏的心输出量比例,减少了流向脾脏和胃肠道的比例,并增加了心脏、肾脏和肝内脏血流量。4. 去氧肾上腺素(5微克推注,随后以0.4微克/分钟输注,静脉注射)的继发性、相对持续的升压作用在三种呼吸量下有所不同,平均值为32至53毫米汞柱。这种反应是由于总外周阻力和心输出量增加(由于更大的每搏输出量和/或心率)。去氧肾上腺素增加了流向胃肠道、心脏、肾脏和肝内脏床的心输出量比例,并增加了心脏、肝内脏、肾脏和胃肠道血流量。5. 呼吸量对赛拉嗪的心血管作用无影响。然而,呼吸量改变了去氧肾上腺素对心率的影响,并改变了每搏输出量和心率对心输出量增加的相对贡献。它还影响了去氧肾上腺素对流向肝脏、附睾和肝内脏床的心输出量分布以及对通过骨骼肌和大肠的血流量的影响。6. 因此,空气通气的麻醉致僵大鼠呼吸量的变化会影响心输出量、其分布及局部血流。这种变化还可以不同地影响各种血管床对去氧肾上腺素的反应,而对它们对赛拉嗪的反应无影响。

相似文献

引用本文的文献

本文引用的文献

1
CARDIAC METABOLISM.心脏代谢
Physiol Rev. 1965 Apr;45:171-213. doi: 10.1152/physrev.1965.45.2.171.

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验