Kubes P, Chapler C K, Cain S M
Department of Physiology, Queen's University, Kingston, Ont., Canada.
Can J Physiol Pharmacol. 1988 Feb;66(2):101-5. doi: 10.1139/y88-019.
Redistribution of blood flow away from resting skeletal muscles does not occur during anemic hypoxia even when whole body oxygen uptake is not maintained. In the present study, the effects of sympathetic nerve stimulation on both skeletal muscle and hindlimb blood flow were studied prior to and during anemia in anesthetized, paralyzed, and ventilated dogs. In one series (skeletal muscle group, n = 8) paw blood flow was excluded by placing a tourniquet around the ankle; in a second series (hindlimb group, n = 8) no tourniquet was placed at the ankle. The distal end of the transected left sciatic nerve was stimulated to produce a maximal vasoconstrictor response for 4-min intervals at normal hematocrit (Hct.) and at 30 min of anemia (Hct. = 14%). Arterial blood pressure and hindlimb or muscle blood flow were measured; resistance and vascular hindrance were calculated. Nerve stimulation decreased blood flow (p less than 0.05) in the hindlimb and muscle groups at normal Hct. Blood flow rose (p less than 0.05) during anemia and was decreased (p less than 0.05) in both groups during nerve stimulation. However, the blood flow values in both groups during nerve stimulation in anemic animals were greater (p less than 0.05) than those at normal Hct. Hindlimb and muscle vascular resistance fell significantly during anemia and nerve stimulation produced a greater increase in vascular resistance at normal Hct. Vascular hindrance in muscle, but not hindlimb, was less during nerve stimulation in anemia than at normal Hct.(ABSTRACT TRUNCATED AT 250 WORDS)
即使在全身摄氧量无法维持的情况下,贫血性缺氧期间也不会发生血液从静息骨骼肌重新分配的情况。在本研究中,对麻醉、瘫痪并进行通气的犬,在贫血发生之前和期间研究了交感神经刺激对骨骼肌和后肢血流的影响。在一组实验(骨骼肌组,n = 8)中,通过在脚踝处扎止血带来排除爪部血流;在第二组实验(后肢组,n = 8)中,脚踝处未扎止血带。在正常血细胞比容(Hct.)以及贫血30分钟(Hct. = 14%)时,对切断的左坐骨神经远端进行刺激,以产生4分钟间隔的最大血管收缩反应。测量动脉血压和后肢或肌肉血流;计算阻力和血管阻碍。在正常Hct时,神经刺激使后肢组和肌肉组的血流减少(p < 0.05)。贫血期间血流增加(p < 0.05),且在神经刺激期间两组血流均减少(p < 0.05)。然而,贫血动物在神经刺激期间两组的血流值均高于正常Hct时的值(p < 0.05)。贫血期间后肢和肌肉血管阻力显著下降,神经刺激在正常Hct时使血管阻力增加得更多。与正常Hct时相比,贫血时神经刺激期间肌肉的血管阻碍减少,但后肢未减少。(摘要截断于250字)