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肾性高血压发展过程中的内脏循环变化。

Splanchnic circulatory changes during development of renal hypertension.

作者信息

Meininger G A, Benoit J N, Ostrowska E Z, Muckleroy S K

出版信息

Am J Physiol. 1987 Aug;253(2 Pt 1):G146-54. doi: 10.1152/ajpgi.1987.253.2.G146.

Abstract

Total and regional splanchnic blood flows were measured with radiolabeled microspheres (15 micron) in one-kidney, one-clip renal hypertensive rats at 2, 4, and 6 wk after induction of hypertension. Arterial pressures (mean +/- SE, mmHg) for the normotensive rats (N) and age-matched hypertensive rats (H) were 110 +/- 5 and 114 +/- 6 at 2 wk, 104 +/- 4 and 148 +/- 13 at 4 wk, and 117 +/- 6 and 164 +/- 11 at 6 wk, respectively. Total splanchnic blood flow was increased in H compared with N at 4 wk but not at 2 or 6 wk. The blood flow changes among individual splanchnic organs varied in N and H. For example, at 2 and 4 wk, stomach, small intestine, large intestine, pancreas, hepatic artery, and portal venous blood flows in H were unchanged compared with N. At 6 wk, small intestinal and hepatic arterial blood flows were increased in H compared with N, and pancreatic blood flow was decreased. Vascular resistance was not different for any splanchnic organs between N and H at 2 wk, but it was elevated in H for all organs at 4 and 6 wk except for the hepatic artery. In another group of rats, the renal and superior mesenteric arteries (SMA) were instrumented with ultrasonic Doppler flow probes. Acute one-kidney, one-clip hypertension was produced by removing one kidney and mechanically reducing flow to the remaining kidney with a pneumatic occluder. After 2 h of stenosis, mean arterial pressure and SMA flow velocity was decreased by 6%.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在诱导高血压后的2周、4周和6周,用放射性微球(15微米)测量单肾、单夹肾性高血压大鼠的总内脏血流量和局部内脏血流量。正常血压大鼠(N)和年龄匹配的高血压大鼠(H)在2周时的动脉血压(平均值±标准误,mmHg)分别为110±5和114±6,4周时为104±4和148±13,6周时为117±6和164±11。与N组相比,H组在4周时总内脏血流量增加,但在2周或6周时未增加。N组和H组各内脏器官的血流变化各不相同。例如,在2周和4周时,H组的胃、小肠、大肠、胰腺、肝动脉和门静脉血流量与N组相比没有变化。在6周时,与N组相比,H组的小肠和肝动脉血流量增加,胰腺血流量减少。在2周时,N组和H组的任何内脏器官的血管阻力均无差异,但在4周和6周时,除肝动脉外,H组所有器官的血管阻力均升高。在另一组大鼠中,用超声多普勒血流探头测量肾动脉和肠系膜上动脉(SMA)。通过切除一侧肾脏并用气动闭塞器机械减少剩余肾脏的血流量来产生急性单肾、单夹高血压。狭窄2小时后,平均动脉压和SMA流速降低了6%。(摘要截断于250字)

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