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静脉注射血管加压素对犬肠系膜动脉血流量、肠耗氧量和心输出量的影响。

Effects of intravenous vasopressin on canine mesenteric arterial blood flow, bowel oxygen consumption, and cardiac output.

作者信息

Athanasoulis C A, Waltman A C, Simmons J T, Sheehan B, Coggins C H

出版信息

AJR Am J Roentgenol. 1978 Jun;130(6):1033-9. doi: 10.2214/ajr.130.6.1033.

Abstract

The effects of various doses of intravenous vasopressin on mesenteric arterial blood flow, intestinal oxygen consumption, and cardiac output in anesthetized dogs were investigated. Optimal dose rate of intravenous vasopressin was found to be 3.0 mU/kg/min. At this dose rate, mesenteric arterial blood flow, intestinal oxygen consumption, and cardiac output decreased by 57%, 57% and 26%, respectively. Increasing the dose rate to 8.0 mU/kg/min did not offer significant gains. Maximum effect was observed 20 min after the beginning of the infusion. The effects disappeared 10-20 min after the infusion was discontinued, with the exception of superior mesenteric blood flow which showed a rebound increase. We conclude that in the anesthetized dog, intravenous infusions of vasopressin at low dose rates (3.0 mU/kg/min) substantially reduce mesenteric blood flow and intestinal oxygen extraction with moderate reduction of cardiac output. Possible clinical applications of low dose intravenous infusions of vasopressin would include reduction of portal hypertension and bowel protection during radiation therapy.

摘要

研究了不同剂量静脉注射血管加压素对麻醉犬肠系膜动脉血流量、肠道氧耗量和心输出量的影响。发现静脉注射血管加压素的最佳剂量率为3.0 mU/kg/min。在此剂量率下,肠系膜动脉血流量、肠道氧耗量和心输出量分别下降了57%、57%和26%。将剂量率提高到8.0 mU/kg/min并没有显著增加效果。输注开始20分钟后观察到最大效应。输注停止后10 - 20分钟效应消失,但肠系膜上动脉血流量出现反跳性增加。我们得出结论,在麻醉犬中,低剂量率(3.0 mU/kg/min)静脉输注血管加压素可显著降低肠系膜血流量和肠道氧摄取,同时适度降低心输出量。低剂量静脉输注血管加压素的可能临床应用包括降低门静脉高压和放疗期间的肠道保护。

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