Rice G C, Leiberman D P, Mathie R T, Ryan C J, Harper A M, Blumgart L H
Br J Exp Pathol. 1977 Jun;58(3):243-50.
The changes in liver haemodynamics following partial hepatectomy (PH) were studied using an 85Kr clearance technique to measure perfusion in the livers of rats before and after both PH and sham operations. Post-operative measurements were made for 8 h following operation and also at 21 and 35 h, when uptake of tritiated thymidine into DNA is maximal in regenerating rat liver. Sham operation did not influence hepatic perfusion, arterial pressure or portal pressure. PH induced an early increase in perfusion of 293% in spite of a decrease in arterial blood pressure during the initial 4 h. The increase in perfusion lasted at least 8 h, had returned to normal values by 35 h, and was not explained solely by an observed elevation of portal pressure of 50% which returned to normal 5 h postoperatively. The total volume flow to the liver remnant after PH, however, was essentially the same as the flow to the liver before operation.
采用85Kr清除技术,对大鼠在部分肝切除(PH)和假手术前后肝脏的灌注进行测量,以此研究部分肝切除术后肝脏血流动力学的变化。术后在术后8小时以及21小时和35小时进行测量,此时再生大鼠肝脏中氚标记胸腺嘧啶核苷掺入DNA的量最大。假手术不影响肝脏灌注、动脉血压或门静脉压力。尽管在最初4小时动脉血压下降,但部分肝切除仍使灌注早期增加了293%。灌注增加至少持续8小时,在35小时时恢复到正常值,且不能单纯用观察到的门静脉压力升高50%来解释,该升高在术后5小时恢复正常。然而,部分肝切除后肝残余的总体积流量与手术前肝脏的流量基本相同。