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高渗输注对猫肝血流量和肝脏体积的影响。

The effect of hypertonic infusions on hepatic blood flows and liver volume in the cat.

作者信息

Lautt W W, MacLachlan T L, Brown L C

出版信息

Can J Physiol Pharmacol. 1977 Dec;55(6):1339-44. doi: 10.1139/y77-179.

Abstract

The effects of intravenous and intraportal infusions of hypertonic NaCl and glucose solutions on the resistance and capacitance vessels of the intact feline liver were studied. All doses infused produced vasodilation of the hepatic artery. A rough estimate would suggest that the tonicity changes equal to those seen after hemorrhage might produce an increase of arterial conductance to no less than 110% and no greater than 140% of control conductance. In response to intravenous infusions, portal flow increased to the same extent as did arterial flows. The resistance vessels were equally affected by equal osmolal loads of glucose or NaCl but the hepatic volume changes were quite different depending on the substances infused. In marked contrast with the resistance vessel response to hypertonic NaCl, the hepatic capacitance vessels did not dilate. Liver volume decreased but whether due to mild capacitance stimulation or water egress from hepatocytes is not known. Cessation of the infusion resulted in increases of hepatic volume to above control levels. Glucose produced consistent steady increases in volume that may have been associated with fluid uptake by the hepatocytes in conjunction with glucose uptake.

摘要

研究了静脉内和门静脉内输注高渗氯化钠和葡萄糖溶液对完整猫肝脏阻力血管和容量血管的影响。所有输注剂量均使肝动脉血管舒张。粗略估计表明,与出血后所见的张力变化相等的情况下,动脉传导性可能增加至对照传导性的不少于110%且不大于140%。静脉输注后,门静脉血流的增加幅度与动脉血流相同。葡萄糖或氯化钠等渗负荷对等程度地影响阻力血管,但根据所输注的物质不同,肝脏体积变化差异很大。与阻力血管对高渗氯化钠的反应形成鲜明对比的是,肝脏容量血管并未舒张。肝脏体积减小,但尚不清楚这是由于轻度容量刺激还是肝细胞的水分流出所致。输注停止导致肝脏体积增加至对照水平以上。葡萄糖使肝脏体积持续稳定增加,这可能与肝细胞摄取葡萄糖时同时摄取液体有关。

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