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肾上腺素和去甲肾上腺素对麻醉猫静脉回流及局部血流的影响,特别提及肠道血流。

The effects of adrenaline and noradrenaline on venous return and regional blood flows in the anaesthetized cat with special reference to intestinal blood flow.

作者信息

Greenway C V, Lawson A E

出版信息

J Physiol. 1966 Oct;186(3):579-95. doi: 10.1113/jphysiol.1966.sp008057.

Abstract
  1. In cats, a venous long-circuit technique was used to measure the blood flows in the superior vena cava and the hepatic, renal and iliac segments of the inferior vena cava. The sum of these flows gave the venous return (minus coronary and bronchial flows). In further experiments using an electromagnetic flowmeter, flow in the portal vein and in the superior mesenteric and coeliac arteries was measured.2. Approximately two-thirds of the hepatic blood flow is derived from the portal vein.3. After block of conduction in the cervical region of the spinal cord, the proportions of the venous return coming from each region during the control periods were not significantly altered although the arterial pressure and total venous return were decreased.4. Intravenous infusions of adrenaline caused an increase in venous return which was associated with a marked increase in hepatic blood flow. The increase in hepatic blood flow was due to an increase in flow in the superior mesenteric artery and portal vein. Flow in the coeliac artery remained unchanged. This response was unaffected by block of the cervical region of the spinal cord and by atropine or pentolinium.5. Intravenous infusions of noradrenaline caused little change in venous return or regional blood flows. Small increases in superior mesenteric artery flow were occasionally seen and on cessation of the infusion a large but brief increase occurred. These facts suggest that noradrenaline has a similar action to adrenaline but this is masked by concomitant vasoconstriction.
摘要
  1. 在猫身上,采用静脉长回路技术测量上腔静脉以及下腔静脉的肝段、肾段和髂段的血流。这些血流的总和即为静脉回流量(减去冠状动脉和支气管血流)。在进一步的实验中,使用电磁流量计测量门静脉以及肠系膜上动脉和腹腔动脉的血流。

  2. 大约三分之二的肝血流来自门静脉。

  3. 在脊髓颈部区域传导阻滞之后,尽管动脉血压和总静脉回流量降低,但对照期内来自各个区域的静脉回流比例并未发生显著改变。

  4. 静脉注射肾上腺素会导致静脉回流量增加,这与肝血流量的显著增加相关。肝血流量的增加是由于肠系膜上动脉和门静脉血流增加所致。腹腔动脉血流保持不变。这种反应不受脊髓颈部区域阻滞以及阿托品或潘托铵的影响。

  5. 静脉注射去甲肾上腺素对静脉回流量或局部血流影响很小。偶尔可见肠系膜上动脉血流有小幅增加,并且在停止注射后会出现大幅但短暂的增加。这些事实表明,去甲肾上腺素与肾上腺素具有相似的作用,但这种作用被伴随的血管收缩所掩盖。

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