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体内血栓诱导的血管收缩的局部测量。

Local measurements of thrombus induced vasoconstriction in vivo.

作者信息

Herrmann K S, Kreuzer H

机构信息

Department of Cardiology, University of Göttingen, FRG.

出版信息

Thromb Res. 1988 Jun 15;50(6):827-35. doi: 10.1016/0049-3848(88)90342-8.

Abstract

No data is available describing the local effect of thrombus formation on the vessel's diameter in vivo. As platelet or thrombus induced vasoconstriction seems to be of clinical importance in various diseases, it is desirable to get insight into the interrelation of thrombus formation and local vasoactivity. With a contactless photochemical process, endothelial cells can be damaged and thrombogenesis may be initiated in vivo. After first platelets stick to endothelial cells, a strong vasoconstriction is observed in arterioles. In venules, no vascular reaction can be observed. Constriction is most pronounced at the site of thrombus formation and decreases at growing distance. The thrombus is squeezed by the vascular constriction and thus mechanically held in place and squeezed out. A slight relaxation follows 30-80 min later, but the vessel remains constricted during the following three hours. Thrombus induced vasoconstrictions can be reduced by papaverine, EP 092 (a thromboxane A2 antagonist) and phentolamine in dose-dependent manner in vivo. Papaverine was most effective followed by EP 092, Phentolamine was less effective, showing the minor importance of alpha-receptor stimulation in this model.

摘要

尚无关于体内血栓形成对血管直径局部影响的数据。由于血小板或血栓诱导的血管收缩在各种疾病中似乎具有临床重要性,因此有必要深入了解血栓形成与局部血管活性之间的相互关系。通过非接触式光化学过程,内皮细胞可被损伤,体内可启动血栓形成。在最初的血小板黏附于内皮细胞后,在小动脉中观察到强烈的血管收缩。在小静脉中,未观察到血管反应。收缩在血栓形成部位最为明显,并随距离增加而减弱。血栓被血管收缩挤压,从而机械性地固定在位并被挤出。30 - 80分钟后会有轻微的舒张,但在随后的三个小时内血管仍保持收缩状态。在体内,罂粟碱、EP 092(一种血栓素A2拮抗剂)和酚妥拉明可剂量依赖性地减轻血栓诱导的血管收缩。罂粟碱最有效,其次是EP 092,酚妥拉明效果较差,表明α受体刺激在该模型中的重要性较小。

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