Takeuchi T, Terada N, Koyama S
Jpn J Physiol. 1986;36(1):65-76. doi: 10.2170/jjphysiol.36.65.
Changes in hepatic hemodynamics during blood pressure oscillations caused by the side pressure exertion procedure (SPEP) were studied in anesthetized rabbits. The brain was excluded from systemic circulation except for one of the common carotids, which was compressed with stepwise elevated pressure. In normovolemia, the hepatic arterial flow (HAF) increased as the systemic arterial pressure (SAP) rose up to 140 mmHg, and then decreased as SAP rose further. With the rise of SAP, the portal venous flow (PVF) initially rose slightly, followed by a nearly constant decrease. Hemorrhaging influenced slightly the changes of HAF and PVF with the SAP rise. After volume loading, SAP and PVF markedly increased but HAF changed little. However, the initial increase in HAF with the SAP rise was markedly depressed by volume loading. PVF conspicuously decreased without initial increase with the rise in SAP. The hepatic vascular bed has a mechanism that prevents expected decrease of blood flow after hemorrhaging and during neurogenic hypertension. The interaction among HAF, PVF, and PVP may be involved in this mechanism.
在麻醉兔中研究了由侧压施加程序(SPEP)引起的血压振荡期间肝脏血流动力学的变化。除了一条颈总动脉外,大脑被排除在体循环之外,该颈总动脉被逐步升高的压力压迫。在血容量正常时,随着体动脉压(SAP)升高至140 mmHg,肝动脉血流(HAF)增加,然后随着SAP进一步升高而降低。随着SAP的升高,门静脉血流(PVF)最初略有上升,随后几乎持续下降。出血对HAF和PVF随SAP升高的变化影响较小。容量负荷后,SAP和PVF明显增加,但HAF变化不大。然而,容量负荷明显抑制了随着SAP升高HAF的最初增加。PVF在SAP升高时没有最初的增加,反而明显下降。肝血管床有一种机制,可以防止出血后和神经源性高血压期间预期的血流减少。HAF、PVF和门静脉压力(PVP)之间的相互作用可能参与了这一机制。