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中枢和外周血压的调控以及失血性/低血容量性休克

Controls of Central and Peripheral Blood Pressure and Hemorrhagic/Hypovolemic Shock.

作者信息

Ranjan Amaresh K, Gulati Anil

机构信息

Chicago College of Pharmacy, Midwestern University, Downers Grove, IL 60515, USA.

Pharmazz Inc., Research and Development, Willowbrook, IL 60527, USA.

出版信息

J Clin Med. 2023 Jan 31;12(3):1108. doi: 10.3390/jcm12031108.

Abstract

The pressure exerted on the heart and blood vessels because of blood flow is considered an essential parameter for cardiovascular function. It determines sufficient blood perfusion, and transportation of nutrition, oxygen, and other essential factors to every organ. Pressure in the primary arteries near the heart and the brain is known as central blood pressure (CBP), while that in the peripheral arteries is known as peripheral blood pressure (PBP). Usually, CBP and PBP are correlated; however, various types of shocks and cardiovascular disorders interfere with their regulation and differently affect the blood flow in vital and accessory organs. Therefore, understanding blood pressure in normal and disease conditions is essential for managing shock-related cardiovascular implications and improving treatment outcomes. In this review, we have described the control systems (neural, hormonal, osmotic, and cellular) of blood pressure and their regulation in hemorrhagic/hypovolemic shock using centhaquine (Lyfaquin) as a resuscitative agent.

摘要

由于血流对心脏和血管施加的压力被认为是心血管功能的一个重要参数。它决定了充足的血液灌注,以及营养物质、氧气和其他重要因素向各个器官的输送。心脏和大脑附近主要动脉的压力称为中心血压(CBP),而外周动脉的压力称为外周血压(PBP)。通常,CBP和PBP是相关的;然而,各种类型的休克和心血管疾病会干扰它们的调节,并对重要器官和附属器官的血流产生不同影响。因此,了解正常和疾病状态下的血压对于处理与休克相关的心血管问题和改善治疗效果至关重要。在这篇综述中,我们描述了血压的控制系统(神经、激素、渗透压和细胞),以及使用喷他喹(Lyfaquin)作为复苏剂时它们在出血性/低血容量性休克中的调节情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1458/9917827/ed529dbe501e/jcm-12-01108-g001.jpg

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