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刺激肝神经、输注去甲肾上腺素和阻断颈动脉对麻醉猫肝血流量的影响。

The effects of stimulation of the hepatic nerves, infusions of noradrenaline and occlusion of the carotid arteries on liver blood flow in the anaesthetized cat.

作者信息

Greenway C V, Lawson A E, Mellander S

出版信息

J Physiol. 1967 Sep;192(1):21-41. doi: 10.1113/jphysiol.1967.sp008285.

Abstract
  1. In anaesthetized cats, the hepatic artery, portal vein and inferior vena cava pressures and the hepatic artery and portal vein flows were recorded using pressure transducers and electro-magnetic flowmeters.2. The hepatic nerves were stimulated with maximal stimuli for periods of 2-5 min. The magnitude of the response varied with the frequency of stimulation over the range 1-10 impulses/sec. The resistance to flow increased in both the hepatic artery and the portal vein.3. In the hepatic artery, mean pressure remained virtually constant, while the flow showed an initial marked decrease followed by a return towards the control level. In the portal vein, the flow remained constant while portal pressure showed a maintained increase. These responses were unaffected by previous administration of atropine and propranolol, but were blocked by phenoxybenzamine.4. Infusions of noradrenaline into the hepatic artery produced changes similar to those following stimulation of the nerves. In contrast, when the hepatic arterial pressure was maintained constant, intravenous infusions of noradrenaline produced a maintained decrease in hepatic artery flow.5. The occurrence of autoregulation of the hepatic artery flow at arterial pressures above 80-100 mm Hg was confirmed.6. Occlusion of the carotid arteries caused a rise in arterial pressure with little change in hepatic artery flow, but when the hepatic artery pressure was maintained at the pre-occlusion level the flow showed an abrupt decrease, usually followed by a recovery towards the control level. This decrease was abolished by section of the hepatic nerves and removal of the adrenal glands.7. It is concluded that the increase in hepatic artery resistance during occlusion of the carotid arteries was dependent on the hepatic nerves, the adrenal medullary secretions and an intrinsic autoregulatory mechanism.
摘要
  1. 在麻醉猫身上,使用压力传感器和电磁流量计记录肝动脉、门静脉和下腔静脉压力以及肝动脉和门静脉血流量。

  2. 用最大刺激强度刺激肝神经2 - 5分钟。反应幅度随刺激频率在1 - 10次/秒范围内变化。肝动脉和门静脉的血流阻力均增加。

  3. 在肝动脉中,平均压力基本保持不变,而血流量起初显著下降,随后又恢复到对照水平。在门静脉中,血流量保持恒定,而门静脉压力持续升高。这些反应不受先前给予阿托品和普萘洛尔的影响,但被酚苄明阻断。

  4. 向肝动脉内输注去甲肾上腺素产生的变化与刺激神经后的变化相似。相反,当肝动脉压力保持恒定时,静脉输注去甲肾上腺素会使肝动脉血流量持续下降。

  5. 证实了在动脉压高于80 - 100 mmHg时肝动脉血流存在自动调节现象。

  6. 阻断颈动脉会导致动脉压升高,肝动脉血流量变化不大,但当肝动脉压力维持在阻断前水平时,血流量会突然下降,通常随后会恢复到对照水平。切断肝神经和摘除肾上腺可消除这种下降。

  7. 得出结论,阻断颈动脉期间肝动脉阻力的增加依赖于肝神经、肾上腺髓质分泌和一种内在的自动调节机制。

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