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两种两栖动物出血和高钠血症的血流动力学后果。

The hemodynamic consequences of hemorrhage and hypernatremia in two amphibians.

作者信息

Hillman S S, Withers P C

机构信息

Department of Biology, Portland State University, Oregon 97207.

出版信息

J Comp Physiol B. 1988;157(6):807-12. doi: 10.1007/BF00691012.

Abstract
  1. Graded hypovolemia was induced by hemorrhagic blood loss and graded hypernatremia by salt load in the toad, Bufo marinus, and the bullfrog, Rana catesbeiana. Maximal blood flow rates in the systemic arches and arterial and venous pressures were measured during activity after each stress. 2. Maximal blood flow rates in the B. marinus did not decline until blood loss exceeded 5% of initial body mass. In R. catesbeiana, losses of 2% initial body mass caused a decline (Fig. 1). 3. Maximal heart rates did not change with hemorrhage (Fig. 2). The decline in blood flow rates with hemorrhage was due to declining pulse volumes in both species (Fig. 3). 4. Arteriovenous pressure difference declined with hemorrhage in both species (Fig. 4). Peripheral resistance increased with hemorrhage in parallel with compromised blood flow rates (Fig. 5). 5. Plasma sodium concentration slightly increased with hemorrhage, while plasma protein concentration and hematocrit declined. Lymphatic compensation for hemorrhagic loss is indicated in both species (Fig. 6). 6. Induced hypernatremia compromised blood flow rates in both species at plasma sodium concentrations above 175 mM. The decline in flow rates was principally a result of a decrease in pulse volume, though maximal heart rates also declined (Figs. 2, 3, 7). 7. Induced hypernatremia had no effect on the arteriovenous pressure difference in B. marinus but caused it to decline in R. catesbeiana. Peripheral resistance increased in only B. marinus but not R. catesbeiana (Figs. 4, 5). Hematocrit did not change with salt load, indicative of a constant vascular volume.
摘要
  1. 通过失血性失血诱导蟾蜍(海蟾蜍,Bufo marinus)和牛蛙(牛蛙,Rana catesbeiana)分级低血容量,并通过盐负荷诱导分级高钠血症。在每次应激后的活动期间,测量体动脉弓中的最大血流速率以及动脉和静脉压力。2. 直到失血量超过初始体重的5%,海蟾蜍的最大血流速率才下降。在牛蛙中,初始体重损失2%就导致血流速率下降(图1)。3. 最大心率不会因出血而改变(图2)。两种动物中出血导致的血流速率下降是由于脉量下降(图3)。4. 两种动物中,动静脉压差均随出血而下降(图4)。外周阻力随出血增加,与血流速率受损平行(图5)。5. 血浆钠浓度随出血略有增加,而血浆蛋白浓度和血细胞比容下降。两种动物均显示出淋巴对失血的代偿作用(图6)。6. 在血浆钠浓度高于175 mM时,诱导的高钠血症损害了两种动物的血流速率。血流速率下降主要是脉量减少的结果,尽管最大心率也下降了(图2、3、7)。7. 诱导的高钠血症对海蟾蜍的动静脉压差没有影响,但导致牛蛙的动静脉压差下降。外周阻力仅在海蟾蜍中增加,而在牛蛙中没有增加(图4、5)。血细胞比容不会随盐负荷而变化,表明血管容量恒定。

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