Leeman M, Lejeune P, Mélot C, Naeije R
Laboratory of Cardiovascular and Respiratory Physiology, Erasme University Hospital, Brussels, Belgium.
Eur Respir J. 1988 Aug;1(8):711-5.
The effects of prostaglandin E1 on mean pulmonary artery pressure (Ppa):cardiac index (Q) relationships were investigated in eight anaesthetized dogs, ventilated in hyperoxia (fraction of inspired oxygen (FiO2) 0.4) and in hypoxia (FiO2 0.1). Cardiac output was increased by opening an arterio-venous femoral bypass or reduced by stepwise inflations of a balloon in the inferior vena cava. Five-point Ppa:Q relationships were found to be linear in all experimental conditions. Hypoxia increased Ppa over the entire range of Q studied (1-5l.min-1.m-2). Prostaglandin E1 0.4 microgram.kg-1.min-1 intravenously decreased hyperoxic Ppa for Q ranging from 3-5 l.min-1.m-2, hypoxic Ppa for Q ranging from 2-5 l.min-1.m-2 and attenuated hypoxia-induced increases in Ppa. These results show that prostaglandin E1 is a pulmonary vasodilator in both hyperoxic and hypoxic conditions. At the dose of 0.4 microgram.kg-1, prostaglandin E1 partially inhibits hypoxic pulmonary vasoconstriction.
在八只麻醉犬中研究了前列腺素E1对平均肺动脉压(Ppa)与心指数(Q)关系的影响,这些犬在高氧(吸入氧分数(FiO2)0.4)和低氧(FiO2 0.1)条件下进行通气。通过打开股动静脉旁路增加心输出量,或通过在下腔静脉中逐步充盈气囊来减少心输出量。发现在所有实验条件下,五点Ppa:Q关系均呈线性。在研究的整个Q范围(1 - 5升·分钟-1·米-2)内,低氧均使Ppa升高。静脉注射0.4微克·千克-1·分钟-1的前列腺素E1可使Q在3 - 5升·分钟-1·米-2范围内的高氧Ppa降低,使Q在2 - 5升·分钟-1·米-2范围内的低氧Ppa降低,并减弱低氧诱导的Ppa升高。这些结果表明,前列腺素E1在高氧和低氧条件下均为肺血管扩张剂。在0.4微克·千克-1的剂量下,前列腺素E1可部分抑制低氧性肺血管收缩。