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反射性交感神经对犬肝脏血管间隙及肝脏灌注的影响。

Reflex sympathetic effects on liver vascular space and liver perfusion in dogs.

作者信息

Cousineau D, Goresky C A, Rose C P, Lee S

出版信息

Am J Physiol. 1985 Feb;248(2 Pt 2):H186-92. doi: 10.1152/ajpheart.1985.248.2.H186.

Abstract

The effects of sympathetic fiber activation on liver vascular volume and on the perfusion of the liver were ascertained in dogs by use of the multiple indicator-dilution technique. Portal vein-hepatic vein dilution patterns were obtained following injection of a mixture containing 51Cr-labeled red blood cells (a vascular reference), 14C-labeled sucrose (an interstitial reference), and 3H-labeled water (a cellular reference). Liver vascular, interstitial, and cellular water spaces were measured from the dilution data under control conditions and following activation of the sympathetic system by bilateral occlusion of carotid arteries. Carotid occlusion significantly increased plasma norepinephrine values without changing plasma epinephrine concentration, indicating that the resulting reflex sympathetic activation was selective for peripheral fibers. Although average blood flow did not change, liver vascular volume decreased by 40% during the sympathetic activation, and sucrose interstitial space and accessible cellular water space were unchanged. These findings indicate that there were no areas of no flow in the liver during the sympathetic activation, despite the observed large diminution in vascular blood content.

摘要

通过使用多指示剂稀释技术,在犬身上确定了交感神经纤维激活对肝脏血管容量和肝脏灌注的影响。在注射含有51Cr标记的红细胞(血管参考物)、14C标记的蔗糖(间质参考物)和3H标记的水(细胞参考物)的混合物后,获得门静脉-肝静脉稀释模式。在对照条件下以及通过双侧颈动脉闭塞激活交感神经系统后,根据稀释数据测量肝脏血管、间质和细胞水间隙。颈动脉闭塞显著增加血浆去甲肾上腺素值,而不改变血浆肾上腺素浓度,表明由此产生的反射性交感神经激活对周围纤维具有选择性。尽管平均血流量没有变化,但在交感神经激活期间肝脏血管容量减少了40%,蔗糖间质间隙和可及细胞水间隙未改变。这些发现表明,尽管观察到血管血容量大幅减少,但在交感神经激活期间肝脏中没有无血流区域。

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