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出血和肝神经刺激对猫肝脏静脉顺应性和无应激容量的影响。

Effects of hemorrhage and hepatic nerve stimulation on venous compliance and unstressed volume in cat liver.

作者信息

Greenway C V

机构信息

Department of Pharmacology, University of Manitoba, Winnipeg, Canada.

出版信息

Can J Physiol Pharmacol. 1987 Nov;65(11):2168-74. doi: 10.1139/y87-342.

Abstract

Intrahepatic blood volume-pressure relationships were studied using plethysmography to measure hepatic blood volume and a hepatic venous long-circuit to control intrahepatic pressure. In cats anesthetized with pentobarbital or with ketamine-chloralose, hemorrhage (to reduce hepatic blood flow to 60% of control) caused marked reductions in hepatic blood volume and intrahepatic pressure but did not significantly change hepatic blood volume-pressure relationships. We were unable to demonstrate an active reflex venous response to hemorrhage in these preparations, although a large passive response occurred. The volume-pressure relationships in innervated livers were different from those in denervated livers: apparent venous compliance was much greater and apparent unstressed volume was zero or negative. Hepatic nerve stimulation in denervated livers caused a marked decrease in hepatic blood volume at low intrahepatic pressures but failed to alter hepatic blood volumes at high intrahepatic pressures (15 mmHg) (1 mmHg = 133.3 Pa). This resulted in large apparent compliances and apparently negative unstressed volumes, as seen in the innervated livers. Thus blood volume-pressure relationships in innervated livers may not give valid measurements of compliance and unstressed volume. A remarkable feature in all these experiments was the linearity of the relationship between hepatic blood volume and intrahepatic pressure. Exudation of fluid begins at higher intrahepatic pressures in innervated compared with denervated livers.

摘要

采用体积描记法测量肝血容量,并通过肝静脉长回路控制肝内压力,研究肝内血容量与压力的关系。在戊巴比妥或氯胺酮 - 氯醛麻醉的猫中,出血(使肝血流量减少至对照值的60%)导致肝血容量和肝内压力显著降低,但未显著改变肝血容量 - 压力关系。尽管出现了较大的被动反应,但在这些实验准备中,我们未能证明对出血有主动的反射性静脉反应。神经支配的肝脏与去神经支配的肝脏的容量 - 压力关系不同:明显的静脉顺应性大得多,明显的无应力容积为零或为负。在去神经支配的肝脏中,刺激肝神经在低肝内压力时导致肝血容量显著减少,但在高肝内压力(15 mmHg)(1 mmHg = 133.3 Pa)时未能改变肝血容量。这导致了如在神经支配的肝脏中所见的大的明显顺应性和明显的负无应力容积。因此,神经支配的肝脏中的血容量 - 压力关系可能无法给出有效的顺应性和无应力容积测量值。所有这些实验中的一个显著特征是肝血容量与肝内压力之间关系的线性。与去神经支配的肝脏相比,神经支配的肝脏在更高的肝内压力时开始出现液体渗出。

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