Baccelli G, Mancia G, Del Bo A, Albertini R, Zanchetti A
Am J Physiol. 1979 Aug;237(2):H213-7. doi: 10.1152/ajpheart.1979.237.2.H213.
The hemodynamic changes occurring during spontaneous micturition were recorded in conscious cats. Arterial blood pressure was continuously measured by chronically implanted arterial catheter, heart rate (HR) by a cardiotachometer, and cardiac output (CO), superior mesenteric (MF), renal (RF), and external iliac blood flows (IF) by chronically implanted electromagnetic flow probes. Spontaneous micturition was accompanied by little change in mean arterial pressure (-9.7 +/- 0.7%), but by a marked decrease in HR (-49.0 +/- 1.2%) and CO (-28.6 +/- 2.5%), and therefore by a marked decrease in total peripheral conductance (-21.0 +/- 3.5%). Visceral and hindlimb blood flows were markedly reduced during micturition (MF, -34.7 +/- 2.1%; RF, -22.6 +/- 1.5%; and IF, -48.7 +/- 1.5%, respectively) due to a marked reduction in regional conductances in both these areas. The vasomotor changes in the regional circulations were prevented by local sympathectomy. Thus spontaneous micturition is associated with marked changes in cardiac function and systemic circulation. Cardiac output is decreased, but diffuse nervous systemic vasoconstriction compensates for this and provides maintenance of arterial blood pressure level.
在清醒的猫身上记录了自然排尿过程中发生的血流动力学变化。通过长期植入的动脉导管连续测量动脉血压,通过心率计测量心率(HR),通过长期植入的电磁流量探头测量心输出量(CO)、肠系膜上动脉血流量(MF)、肾血流量(RF)和髂外动脉血流量(IF)。自然排尿伴随着平均动脉压的微小变化(-9.7±0.7%),但心率(-49.0±1.2%)和心输出量(-28.6±2.5%)显著降低,因此总外周血管传导率显著降低(-21.0±3.5%)。排尿过程中内脏和后肢血流量显著减少(MF分别为-34.7±2.1%;RF为-22.6±1.5%;IF为-48.7±1.5%),这是由于这两个区域的局部血管传导率显著降低。局部交感神经切除可防止局部循环中的血管运动变化。因此,自然排尿与心脏功能和全身循环的显著变化有关。心输出量降低,但弥漫性神经源性全身血管收缩可对此进行代偿,并维持动脉血压水平。