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颈动脉压力感受器刺激对全身静脉床整体的影响。

Effect of carotid pressoreceptor stimulation on integrated systemic venous bed.

作者信息

Müller-Ruchholtz E R, Grund E, Hauer F, Lapp E R

出版信息

Basic Res Cardiol. 1979 Sep-Oct;74(5):467-76. doi: 10.1007/BF01907641.

DOI:10.1007/BF01907641
PMID:526254
Abstract

In 9 mongrel dogs, venous return was completely drained from the caval veins to an oxygenator and returned to the femoral arteries with a roller pump. Perfusion rate of systemic circulation and blood pressures in both caval veins were kept constant. Changes in the oxygenator weight were recorded and reflected reciprocal changes in integrated systemic venous blood volume. The vagal nerves were dissected. The carotid sinuses were separately perfused with blood by means of a pump. In 25 experiments, increases in carotid sinus pressure of 15 to 74 mm Hg resulted in decreases in systemic arterial pressure of 10 to 57 mm Hg and increases in systemic venous blood volume of 1.1 to 4.7 ml/kg. On an average, systemic venous blood volume was changed by 1.25 +/- 0.08 ml/kg when the change in systemic arterial pressure was 10 mm Hg. It is concluded that the carotid sinus pressoreceptor reflex considerably alters the systemic venous capacity which in tern alters venous return and cardiac output. These changes in cardiac output are expected to be small, but sufficient to alter the arterial pressure considerably. Thus, they might contribute nearly as much as the reflex effect on total peripheral resistance to the reflex control of arterial pressure.

摘要

在9只杂种狗身上,腔静脉的静脉回流通过一个氧合器完全引出,再用一个滚压泵将其回输至股动脉。体循环灌注率和两条腔静脉的血压保持恒定。记录氧合器重量的变化,其反映了体循环静脉血总量的相应变化。解剖迷走神经。通过一个泵分别向颈动脉窦灌注血液。在25次实验中,颈动脉窦压力升高15至74毫米汞柱导致体循环动脉压下降10至57毫米汞柱,体循环静脉血容量增加1.1至4.7毫升/千克。平均而言,当体循环动脉压变化10毫米汞柱时,体循环静脉血容量变化1.25±0.08毫升/千克。得出的结论是,颈动脉窦压力感受器反射会显著改变体循环静脉容量,进而改变静脉回流和心输出量。预计心输出量的这些变化很小,但足以显著改变动脉压。因此,它们对动脉压反射性控制的作用可能几乎与对总外周阻力的反射作用一样大。

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引用本文的文献

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Effects of dopamine on total peripheral resistance and integrated systemic venous blood volume in dogs.多巴胺对犬总外周阻力和全身静脉血容量积分的影响。
Basic Res Cardiol. 1980 Sep-Oct;75(5):623-34. doi: 10.1007/BF01907692.
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The effect of a single oral dose of prazosin on venous reflex response, blood pressure and pulse rate in normal volunteers.单次口服哌唑嗪对正常志愿者静脉反射反应、血压和脉搏率的影响。
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[Neuroanatomy of the optic, trigeminal, facial, glossopharyngeal, vagus, accessory and hypoglossal nerves (author's transl)].

本文引用的文献

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Quantitative calculation of the time course of cardiac ejection from the pressure pulse.根据压力脉冲对心脏射血时间进程进行定量计算。
Am J Physiol. 1947 Jan;148(1):25-34. doi: 10.1152/ajplegacy.1947.148.1.25.
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EFFECT OF CAROTID BAROCEPTOR STIMULATION UPON THE FORELIMB VASCULAR BED OF THE DOG.颈动脉压力感受器刺激对犬前肢血管床的影响。
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[THE EFFECT OF ALTERED PRESSOR RECEPTOR STIMULATION IN THE CAROTID SINUS ON THE TONE OF PERIPHERAL BLOOD VESSELS IN MAN].[颈动脉窦压力感受器刺激改变对人体外周血管张力的影响]
[视神经、三叉神经、面神经、舌咽神经、迷走神经、副神经及舌下神经的神经解剖学(作者译)]
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Quantification of the heart rate-independent vasodepressor component in carotid sinus syndrome.颈动脉窦综合征中心率无关的血管减压成分的定量分析。
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4
Reflex control of the systemic venous bed. Effects on venous tone of vasoactive drugs, and of baroreceptor and chemoreceptor stimulation.体循环静脉床的反射控制。血管活性药物、压力感受器和化学感受器刺激对静脉张力的影响。
Circ Res. 1963 May;2:539-52. doi: 10.1161/01.res.12.5.539.
5
Effects of reserpine and guanethidine on venous reflexes.利血平和胍乙啶对静脉反射的作用。
Circ Res. 1962 Nov;11:889-94. doi: 10.1161/01.res.11.5.889.
6
Role of the veins in venous retunr.静脉在静脉回流中的作用。
Circ Res. 1960 Sep;8:1059-76. doi: 10.1161/01.res.8.5.1059.
7
Reflex peripheral venoconstriction induced by carotid occlusion.颈动脉闭塞引起的反射性外周静脉收缩。
Circ Res. 1957 Mar;5(2):149-52. doi: 10.1161/01.res.5.2.149.
8
The participation of the venomotor system in pressor reflexes.血管运动系统在升压反射中的参与。
Circ Res. 1954 Sep;2(5):405-9. doi: 10.1161/01.res.2.5.405.
9
[Role of the depressory circulatory reflexes for regulation of the cardiac time volumen].[减压性循环反射在心脏每搏输出量调节中的作用]
Pflugers Arch Gesamte Physiol Menschen Tiere. 1952 Jul;225(4):331-8.
10
Role of the veins in the carotid sinus reflex.
Am J Physiol. 1966 Jun;210(6):1424-34. doi: 10.1152/ajplegacy.1966.210.6.1424.