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一种特异性抗利尿激动剂对完整和无肾犬的心输出量及其分布的影响。

Effects of a specific antidiuretic agonist on cardiac output and its distribution in intact and anephric dogs.

作者信息

Liard J F

机构信息

Department of Physiology, Medical College of Wisconsin, Milwaukee 53226.

出版信息

Clin Sci (Lond). 1988 Mar;74(3):293-9. doi: 10.1042/cs0740293.

Abstract
  1. The specific antidiuretic agonist [4-valine, 8-D-arginine]vasopressin (VDAVP) was administered intravenously to seven conscious dogs at a rate of 10 ng min-1 kg-1. Cardiac output (aortic electromagnetic flowmeter), mean arterial pressure and regional blood flows (radioactive microspheres) were measured before and after 30 min of infusion. 2. Mean arterial pressure fell from 89.9 +/- 4.5 (mean +/- SEM) to 82.3 +/- 5.9 mmHg and cardiac output increased from 115.4 +/- 8.7 to 163.0 +/- 14.4 ml min-1 kg-1. Total peripheral resistance decreased from 41.6 +/- 3.7 to 27.8 +/- 3.6 units and heart rate increased from 79.2 +/- 5.9 to 123.2 +/- 5.9 beats/min. Blood flow increased significantly in the myocardium, fat and skeletal muscle vascular bed. 3. In another group of six dogs subjected to a similar protocol 24 h after bilateral nephrectomy, mean arterial pressure fell from 102.2 +/- 5.3 to 82.7 +/- 3.4 mmHg and cardiac output increased from 125.6 +/- 3.0 to 171.2 +/- 4.0 ml min-1 kg-1. Total peripheral resistance decreased from 39.3 +/- 3.4 to 23.4 +/- 1.3 units and heart rate increased from 84 +/- 4.9 to 113.3 +/- 4.3 beats/min. The increase in cardiac output and the fall in total peripheral resistance did not differ significantly between intact and anephric dogs. Regional blood flow responses differed in some respects in the two groups studied, but there was no evidence that the vasodilatory action of VDAVP depended on the presence of the kidneys.(ABSTRACT TRUNCATED AT 250 WORDS)
摘要
  1. 将特异性抗利尿激动剂[4-缬氨酸,8-D-精氨酸]加压素(VDAVP)以10纳克·分钟⁻¹·千克⁻¹的速率静脉注射给7只清醒犬。在输注30分钟前后测量心输出量(主动脉电磁流量计)、平均动脉压和局部血流量(放射性微球)。2. 平均动脉压从89.9±4.5(平均值±标准误)降至82.3±5.9毫米汞柱,心输出量从115.4±8.7增加至163.0±14.4毫升·分钟⁻¹·千克⁻¹。总外周阻力从41.6±3.7降至27.8±3.6单位,心率从79.2±5.9增加至123.2±5.9次/分钟。心肌、脂肪和骨骼肌血管床的血流量显著增加。3. 在另一组6只双侧肾切除术后24小时接受类似方案的犬中,平均动脉压从102.2±5.3降至82.7±3.4毫米汞柱,心输出量从125.6±3.0增加至171.2±4.0毫升·分钟⁻¹·千克⁻¹。总外周阻力从39.3±3.4降至23.4±1.3单位,心率从84±4.9增加至113.3±4.3次/分钟。完整犬和无肾犬的心输出量增加和总外周阻力下降没有显著差异。在研究的两组中,局部血流反应在某些方面有所不同,但没有证据表明VDAVP的血管舒张作用依赖于肾脏的存在。(摘要截断于250字)

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