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静脉输注去甲肾上腺素对麻醉犬血浆中游离及硫酸结合儿茶酚胺浓度的影响。

Effects of an intravenous infusion of noradrenaline on the plasma concentration of free and sulfoconjugated catecholamines in anesthetized dogs.

作者信息

Cuche J L, Jondeau G, Ruget G, Selz F, Piga J C, Harboun C

出版信息

Pharmacology. 1986;32(2):90-100. doi: 10.1159/000138156.

Abstract

Exogenous noradrenaline (NA) was infused intravenously at increasing rate from zero (control) to 10, 25, 50, 100, 200 and 600 ng/kg/min during 20 min in anesthetized and ventilated dogs; the mean (+/- SEM) plasma concentration of free NA was increased from 130 +/- 23 pg/ml (basal) to 7,826 +/- 787 pg/ml. This had no measurable effect on the plasma concentration of dopamine and adrenaline in either free or sulfoconjugated form; a lack of change was also observed in dogs given a 600-ng/kg/min infusion during more than 2 h. The increase of free NA concentration was highly correlated both with the infusion rate, and with the blood pressure. Contrary to expectations, the plasma concentration of NA sulfate decreased in all 5 dogs when plasma NA concentration was progressively increased from basal to about 1,600 pg/ml; beyond this apparently crucial level (i.e. from about 1,600 to 7,826 pg/ml), the response of NA sulfate concentration was erratic, as it was in dogs given a 600-ng/kg/min infusion during more than 2 h. If the response of canine blood pressure is examined in the light of the level of free NA concentration, two mechanisms can be suspected: (1) when the NA level increased from basal to about 1,600 pg/ml, a direct action upon peripheral resistances was likely to be the predominant hypertensive mechanism; (2) beyond about 1,600 pg/ml, a combined effect of NA on both peripheral resistances and cardiac hemodynamics could have a role in the hypertensive process. Thus, a concentration of NA of about 1,600 pg/ml appears to be a landmark for both CA metabolism and circulatory homeostasis. Further studies will have to be carried out to investigate whether this represents the upper physiological concentration in the anesthetized dog.

摘要

在麻醉并通气的犬中,在20分钟内以从零(对照)到10、25、50、100、200和600 ng/kg/分钟的递增速率静脉输注外源性去甲肾上腺素(NA);游离NA的平均(±SEM)血浆浓度从130±23 pg/ml(基础值)增加到7826±787 pg/ml。这对游离或硫酸结合形式的多巴胺和肾上腺素的血浆浓度均无明显影响;在以600 ng/kg/分钟的速率输注超过2小时的犬中也观察到无变化。游离NA浓度的增加与输注速率以及血压高度相关。与预期相反,当血浆NA浓度从基础值逐渐增加至约1600 pg/ml时,所有5只犬的硫酸NA血浆浓度均下降;超过这个明显的关键水平(即从约1600到7826 pg/ml),硫酸NA浓度的反应不稳定,在以600 ng/kg/分钟的速率输注超过2小时的犬中也是如此。如果根据游离NA浓度水平来检查犬血压的反应,可怀疑有两种机制:(1)当NA水平从基础值增加至约1600 pg/ml时,对周围阻力的直接作用可能是主要的升压机制;(2)超过约1600 pg/ml时,NA对周围阻力和心脏血液动力学的联合作用可能在升压过程中起作用。因此,约1600 pg/ml的NA浓度似乎是儿茶酚胺代谢和循环稳态的一个标志。还必须进行进一步研究以调查这是否代表麻醉犬的生理浓度上限。

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