Greenlees K J, Shewen P, Yager J, Eyre P
Department of Veterinary Biosciences, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Tech, Blacksburg 24061.
Am J Vet Res. 1987 Nov;48(11):1584-8.
Effects of Pasteurella haemolytica inoculation on pulmonary vascular function were studied in 5 conscious standing Jersey bull calves. Instruments were implanted in each calf to measure pulmonary arterial, pulmonary arterial wedge, left atrial, and systemic arterial pressures and cardiac output. Each calf was challenge exposed with 5 sequential 3-minute infusions of isoproterenol (a beta agonist) or phenylephrine (an alpha agonist) for maximal doses of 1.8 micrograms of isoproterenol or 2.3 micrograms of phenylephrine/kg of body weight/min. The calf was allowed 1 hour to recover, was anesthesized, and administered a 20-ml intratracheal infusion of live P haemolytica (10(6) colony-forming units/ml) followed by a 20-ml saline flush. The pulmonary hemodynamic response to isoproterenol and phenylephrine was examined again in each calf 4 days later. Calves developed a pneumonic pasteurellosis involving 26 to 43% of the lungs. There was a significantly (P less than 0.05) reduced resistance in the pulmonary arterial compartment after inoculation. Isoproterenol infusion decreased resistance in the pulmonary arterial, pulmonary venous, and systemic vascular compartments. The decrease in the pulmonary venous compartment in response to isoproterenol was significantly (P = 0.01) smaller after P haemolytica inoculation. After administration of 1.8 micrograms of isoproterenol/kg/min, resistance in the pulmonary venous compartment was 0.90 +/- 0.22 (mean +/- SD) before and 1.25 +/- 0.39 after Pasteurella inoculation. Phenylephrine resulted in an increase in pulmonary arterial, pulmonary venous, and systemic vascular compartments. There was a mild (P = 0.08) decrease in the pulmonary arterial compartment response to phenylephrine. Seemingly, Pasteurella inoculation blunted beta-receptor function in the pulmonary vascular bed, mainly in the veins, contributing to edema.
在5头清醒站立的泽西种公牛犊中研究了溶血巴氏杆菌接种对肺血管功能的影响。在每头小牛体内植入仪器以测量肺动脉、肺动脉楔压、左心房和体动脉压力以及心输出量。每头小牛依次接受5次3分钟的异丙肾上腺素(一种β激动剂)或去氧肾上腺素(一种α激动剂)输注进行激发试验,最大剂量为1.8微克异丙肾上腺素或2.3微克去氧肾上腺素/千克体重/分钟。让小牛恢复1小时,然后麻醉,并经气管内注入20毫升活的溶血巴氏杆菌(10⁶菌落形成单位/毫升),随后用20毫升生理盐水冲洗。4天后在每头小牛中再次检查对异丙肾上腺素和去氧肾上腺素的肺血流动力学反应。小牛发生了肺炎型巴氏杆菌病,累及26%至43%的肺。接种后肺动脉腔的阻力显著降低(P<0.05)。输注异丙肾上腺素可降低肺动脉、肺静脉和体循环血管腔的阻力。接种溶血巴氏杆菌后,肺静脉腔对异丙肾上腺素的反应性降低显著(P = 0.01)。在给予1.8微克异丙肾上腺素/千克/分钟后,接种巴氏杆菌前肺静脉腔的阻力为0.90±0.22(平均值±标准差),接种后为1.25±0.39。去氧肾上腺素导致肺动脉、肺静脉和体循环血管腔压力升高。肺动脉腔对去氧肾上腺素的反应略有降低(P = 0.08)。似乎,巴氏杆菌接种使肺血管床中的β受体功能减弱,主要是在静脉中,这导致了水肿。