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内脏动脉闭塞性休克期间肾上腺和肠道儿茶酚胺及神经肽的分泌

Adrenal and intestinal secretion of catecholamines and neuropeptides during splanchnic artery occlusion shock.

作者信息

Gaumann D M, Yaksh T L

机构信息

Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota.

出版信息

Circ Shock. 1988 Dec;26(4):391-407.

PMID:3214933
Abstract

Plasma levels of catecholamines and neuropeptides (met-enkephalin, ME; neurotensin, NT; neuropeptide Y, NPY; peptide YY, PYY; vasoactive intestinal polypeptide, VIP; cholecystokinin, CCK; bombesin, BMB) were examined in the femoral artery (FA), adrenal vein (AD), and portal vein (PV), in eight cats under halothane anesthesia at baseline (S1), at the end of a 2-hr ligation period of the major splanchnic arteries (celiac trunk, superior and inferior mesenteric arteries) (S2), immediately (S3) and 30 min (S4) after splanchnic reperfusion, and after the administration of naloxone (1 mg/kg, i.v.) (S5). During S2, there was a significant increase in portal vein VIP levels, while the other variables (hemodynamics, hormone levels) remained unchanged. During early shock (S3), significant (10- to 30-fold) increases in adrenal secretion of all catecholamines, ME, NT, NPY, and PYY occurred, while VIP and PYY were significantly released into the PV, and two- to tenfold increases in femoral artery catecholamine and ME levels were observed. Later shock (S4) led to a further fivefold increase, compared to S3, in adrenal release of norepinephrine (NE), dopamine (DA), and ME. Following naloxone administration (S5), the adrenal medullary release of NE, epinephrine (EPI), DA, NT, and NPY was significantly (twofold) increased; however, the animals' hemodynamic situation did not improve.

摘要

在氟烷麻醉下,于基线期(S1)、主要内脏动脉(腹腔干、肠系膜上动脉和肠系膜下动脉)结扎2小时结束时(S2)、内脏再灌注后即刻(S3)和30分钟(S4)以及给予纳洛酮(1毫克/千克,静脉注射)后(S5),检测了8只猫股动脉(FA)、肾上腺静脉(AD)和门静脉(PV)中儿茶酚胺和神经肽(甲硫氨酸脑啡肽,ME;神经降压素,NT;神经肽Y,NPY;肽YY,PYY;血管活性肠肽,VIP;胆囊收缩素,CCK;蛙皮素,BMB)的血浆水平。在S2期间,门静脉VIP水平显著升高,而其他变量(血流动力学、激素水平)保持不变。在休克早期(S3),所有儿茶酚胺、ME、NT、NPY和PYY的肾上腺分泌显著增加(10至30倍),而VIP和PYY显著释放到PV中,并且股动脉儿茶酚胺和ME水平升高了2至10倍。与S3相比,休克后期(S4)导致肾上腺去甲肾上腺素(NE)、多巴胺(DA)和ME的释放进一步增加了五倍。给予纳洛酮后(S5),肾上腺髓质NE、肾上腺素(EPI)、DA、NT和NPY的释放显著增加(两倍);然而,动物的血流动力学状况并未改善。

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