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出血对清醒犬肾神经活动的影响。

Effects of hemorrhage on renal nerve activity in conscious dogs.

作者信息

Morita H, Vatner S F

出版信息

Circ Res. 1985 Nov;57(5):788-93. doi: 10.1161/01.res.57.5.788.

Abstract

We studied the effects of slow continuous hemorrhage (0.5 ml/kg per min) on measurements of arterial and left atrial pressures, and renal nerve activity in conscious dogs with all reflexes intact, or after sinoaortic baroreceptor denervation, cardiac denervation, or sinoaortic baroreceptor denervation plus vagal denervation. In intact dogs, mean arterial pressure remained relatively constant at 101 +/- 4 mm Hg until 20 +/- 4 ml/kg of hemorrhage, when renal nerve activity increased by 211 +/- 53%. At 39 +/- 2 ml/kg hemorrhage, mean arterial pressure fell by 48 +/- 3 mm Hg, and renal nerve activity returned to the prehemorrhage control level. Cardiac denervation did not affect the response of mean arterial pressure to hemorrhage, whereas, after sinoaortic baroreceptor denervation and sinoaortic baroreceptor plus vagal denervation, mean arterial pressure remained at its control level only through 8 +/- 1 and 4 +/- 1 ml/kg hemorrhage, respectively. The increases in renal nerve activity during nonhypotensive hemorrhage were significantly attenuated by either sinoaortic baroreceptor or cardiac denervation, and were completely blocked by sinoaortic baroreceptor plus vagal denervation. However, the decline in renal nerve activity with hypotensive hemorrhage was not blocked by either cardiac or sinoaortic baroreceptor denervation, and was enhanced after sinoaortic baroreceptor plus vagal denervation. Our data indicate that nonhypotensive hemorrhage in the conscious dog elicits a striking increase in renal nerve activity, which then returns to control levels during hypotensive hemorrhage. Both sinoaortic and cardiopulmonary baroreceptors are involved in mediating the increase in renal nerve activity, whereas the decline in renal nerve activity is not due to either of these baroreflexes.

摘要

我们研究了缓慢持续出血(每分钟0.5毫升/千克)对清醒犬动脉压、左心房压测量值以及肾神经活动的影响,这些犬的所有反射均完整,或者是在进行了窦主动脉压力感受器去神经支配、心脏去神经支配,或窦主动脉压力感受器去神经支配加迷走神经去神经支配之后。在完整的犬中,平均动脉压在101±4毫米汞柱保持相对稳定,直至出血20±4毫升/千克,此时肾神经活动增加了211±53%。在出血39±2毫升/千克时,平均动脉压下降了48±3毫米汞柱,肾神经活动恢复到出血前的对照水平。心脏去神经支配并不影响平均动脉压对出血的反应,而在窦主动脉压力感受器去神经支配以及窦主动脉压力感受器加迷走神经去神经支配后,平均动脉压仅在分别出血8±1和4±1毫升/千克时保持在对照水平。在非低血压性出血期间肾神经活动的增加被窦主动脉压力感受器或心脏去神经支配显著减弱,并被窦主动脉压力感受器加迷走神经去神经支配完全阻断。然而,低血压性出血时肾神经活动的下降未被心脏或窦主动脉压力感受器去神经支配阻断,且在窦主动脉压力感受器加迷走神经去神经支配后增强。我们的数据表明,清醒犬的非低血压性出血会引起肾神经活动显著增加,然后在低血压性出血期间恢复到对照水平。窦主动脉和心肺压力感受器均参与介导肾神经活动的增加,而肾神经活动的下降并非由于这些压力反射中的任何一种。

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