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犬胃肠道不同部位的血管对静脉注射异丙肾上腺素的反应不同。

Vasculature of various locations of canine gastrointestinal tract responds differently to intravenous isoproterenol.

作者信息

Harrison D A, Dinda P K, Beck I T

机构信息

Department of Medicine, Queen's University, Kingston, Ontario, Canada.

出版信息

Dig Dis Sci. 1988 Nov;33(11):1418-24. doi: 10.1007/BF01536997.

Abstract

In this study we investigated the relative vascular response of different locations of the gastrointestinal tract to continuous intravenous infusion of isoproterenol (0.1 microgram kg-1 min-1 for 10 min). The vascular response of some nonsplanchnic organs was also examined. Blood flow of the arteries was measured by electromagnetic flowmetry and that of the tissues by 15-micron microspheres. Isoproterenol increased (P less than 0.05) blood flow of the axillary artery (+52%), and the superior mesenteric artery (+45%), but not that of the inferior mesenteric artery. In the nongastrointestinal tissues, isoproterenol increased (P less than 0.05) the blood flow of the left (+46%), and right ventricle (+85%), and the skeletal muscle (+100%). In the gastrointestinal tract, isoproterenol increased (P less than 0.05) blood flow in the esophagogastric junction (+505%) and antrum (+1511%) only, but not in the gastric body or in any location of the small or large intestine. The drug also caused a large fall in resistance in the esophagogastric junction (-74%) and antrum (-94%), and a small, but significant fall in the duodenum, jejunum, and in the mid-small intestine. It had no significant effect on vascular resistance in the gastric body, ileum, or colon. In those locations of the gastrointestinal tract where isoproterenol caused an increase in blood flow, this effect was confined to the combined mucosal plus submucosal layer, and the drug had no effect on the muscularis. These data suggest that different locations of the gastrointestinal tract respond differently to the same circulating concentration of isoproterenol. The mechanism of this difference in response merits further investigation.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在本研究中,我们调查了胃肠道不同部位对持续静脉输注异丙肾上腺素(0.1微克/千克体重/分钟,共10分钟)的相对血管反应。还检查了一些非内脏器官的血管反应。动脉血流通过电磁血流计测量,组织血流通过15微米微球测量。异丙肾上腺素使腋动脉血流增加(P<0.05)(增加52%),肠系膜上动脉血流增加(增加45%),但肠系膜下动脉血流未增加。在非胃肠道组织中,异丙肾上腺素使左心室血流增加(P<0.05)(增加46%),右心室血流增加(增加85%),骨骼肌血流增加(增加100%)。在胃肠道中,异丙肾上腺素仅使食管胃交界处血流增加(P<0.05)(增加505%)和胃窦血流增加(增加1511%),但胃体以及小肠和大肠的任何部位血流均未增加。该药物还使食管胃交界处阻力大幅下降(下降74%)和胃窦阻力下降(下降94%),十二指肠、空肠和中小肠中段阻力有小幅但显著下降。对胃体、回肠或结肠的血管阻力无显著影响。在胃肠道中异丙肾上腺素使血流增加的部位,这种作用仅限于黏膜层加黏膜下层,对肌层无影响。这些数据表明,胃肠道不同部位对相同循环浓度的异丙肾上腺素反应不同。这种反应差异的机制值得进一步研究。(摘要截短为250字)

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