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动脉低氧血症和异丙肾上腺素对体外产后肠循环的影响。

Effects of arterial hypoxia and isoproterenol on in vitro postnatal intestinal circulation.

作者信息

Nowicki P T, Miller C E, Haun S E

机构信息

Department of Pediatrics, Ohio State University, Columbus.

出版信息

Am J Physiol. 1988 Nov;255(5 Pt 2):H1144-8. doi: 10.1152/ajpheart.1988.255.5.H1144.

Abstract

We have previously speculated that intestinal vasodilation and hyperemia that occur in response to moderate arterial hypoxia in newborn swine in vivo are mediated by factors intrinsic to the intestinal circulation. To test this speculation, we vascularly perfused in vitro loops of jejunum from postnatal swine with control (PO2 98 +/- 4 mmHg) and hypoxic (PO2 38 +/- 2 mmHg) blood obtained from donor swine. In response to hypoxic perfusion, jejunal vascular resistance decreased 12 +/- 2, 13 +/- 3, 33 +/- 5, and 42 +/- 3% in in vitro loops from 1-, 7-, 14-, and 30-day-old swine, respectively, whereas jejunal oxygen uptake decreased 53 +/- 6, 29 +/- 6, 31 +/- 4, and 13 +/- 6% in these age groups. To clarify whether this age-dependent vasodilation was unique to the stimulus of arterial hypoxia or a response characteristic of the postnatal swine intestine to other vasodilator stimuli, we also determined the effect of intra-arterial isoproterenol infusion at rates of 0.01, 0.1, and 1.0 micrograms/min on jejunal hemodynamics and oxygenation in vitro. In jejunal loops taken from 7- and 30-day-old swine, isoproterenol caused a similar degree of vasodilation at each drug-infusion rate. We conclude that vasodilation of the postnatal swine intestine in response to moderate arterial hypoxia is mediated, at least in part, by intrinsic vascular regulation. We speculate that the age dependency of hypoxic vasodilation may reflect a relative inability of the intestine from very young swine to respond to the stimulus of arterial hypoxia.

摘要

我们之前推测,新生猪在体内对中度动脉缺氧产生的肠道血管舒张和充血是由肠道循环内在因素介导的。为了验证这一推测,我们用从供体猪获取的对照血(PO₂ 98±4 mmHg)和缺氧血(PO₂ 38±2 mmHg)对出生后猪的空肠体外肠袢进行血管灌注。在缺氧灌注时,来自1日龄、7日龄、14日龄和30日龄猪的体外肠袢的空肠血管阻力分别降低了12±2%、13±3%、33±5%和42±3%,而这些年龄组的空肠氧摄取分别降低了53±6%、29±6%、31±4%和13±6%。为了阐明这种年龄依赖性血管舒张是否是动脉缺氧刺激所特有的,还是新生猪肠道对其他血管舒张刺激的反应特征,我们还测定了以0.01、0.1和1.0微克/分钟的速率动脉内输注异丙肾上腺素对体外空肠血流动力学和氧合的影响。在取自7日龄和30日龄猪的空肠肠袢中,异丙肾上腺素在每个药物输注速率下都引起了相似程度的血管舒张。我们得出结论,新生猪肠道对中度动脉缺氧的血管舒张至少部分是由内在血管调节介导的。我们推测,缺氧性血管舒张的年龄依赖性可能反映了幼龄猪的肠道对动脉缺氧刺激反应的相对无能。

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