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[肠道循环对清醒大鼠肠腔与血液间渗透平衡的影响]

[Effect of intestinal circulation on the osmotic balance between the intestinal lumen and blood in awake rats].

作者信息

Aziz O, Sommer E, Croteau W

出版信息

Z Gastroenterol. 1985 Nov;23(11):619-27.

PMID:4090564
Abstract

Total electrolyte concentrations in portal vein and aortic blood of unanesthetized rats were measured continuously by means of ultrafiltrate conductometry. Portal flow rate and mesenteric venous pressure (pmes) could also be measured. The last could be raised to any desired level by a specially developed portal vein clamp. Intraduodenal injections of water (0.5 or 1% BW) were given in a first series of experiments with and without sham-attacking (activating) the animal for 10 s and in a second series with and without raising pmes. Portal flow rate dropped in both cases. But whereas activation led to a decrease in the concentration changes in the v. portae and in arteriovenous differences, a rise in pmes had the opposite effect. Comparison of the total free water change in the v. portae (Mpo) with the quantity of water given (MH2O) revealed that Mpo/MH2O dropped in both series of experiments, provided that pmes was not increased by much more than 2 mm Hg (portal flow did not decrease much under normal). The differing results were explained by taking into account the specificities of blood circulation in the gut wall. The experiments have shown that even transient obstruction of gut tissue perfusion can delay dissipation of concentration imbalance between the gut and parenteral space, thus having adverse effects on the gut cells.

摘要

通过超滤液电导法连续测量未麻醉大鼠门静脉和主动脉血中的总电解质浓度。还可以测量门静脉血流量和肠系膜静脉压力(pmes)。通过一种专门设计的门静脉夹可以将后者提高到任何所需水平。在第一系列实验中,分别在有和没有对动物进行10秒假攻击(激活)的情况下,以及在第二系列实验中,分别在有和没有提高pmes的情况下,进行十二指肠内注射水(0.5或1%体重)。在这两种情况下,门静脉血流量均下降。但是,激活导致门静脉浓度变化和动静脉差异减小,而pmes升高则产生相反的效果。将门静脉中总游离水变化量(Mpo)与注入水量(MH2O)进行比较发现,在这两个系列实验中,只要pmes升高不超过2 mmHg(在正常情况下门静脉血流不会大幅减少),Mpo/MH2O都会下降。考虑到肠壁血液循环的特殊性,对不同结果进行了解释。实验表明,即使是肠道组织灌注的短暂阻塞也会延迟肠道与肠外间隙之间浓度失衡的消散,从而对肠道细胞产生不利影响。

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