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组胺对β受体阻滞剂后肺水及血流动力学的影响。

Effects of histamine on lung water and hemodynamics after beta-blockade.

作者信息

Olson N C, Robinson N E, Scott J B

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1983 Apr;54(4):967-71. doi: 10.1152/jappl.1983.54.4.967.

Abstract

The effects of 90 min intravenous histamine (10 micrograms base . kg-1 . min-1) with and without beta (propranolol)-receptor blockade on lung water and hemodynamics were studied. In anesthetized dogs cold 3% saline was used as the indicator to determine cardiac index, central blood volume, and lung extravascular thermal volume. Propranolol alone decreased stroke volume and cardiac index but increased central blood volume, total peripheral resistance, and mean pulmonary arterial and pulmonary arterial wedge pressures. Pulmonary vascular resistance, mean arterial pressure, and lung extravascular thermal volume were not changed. Histamine with propranolol further reduced stroke volume and cardiac index, whereas mean pulmonary arterial and pulmonary arterial wedge pressures returned to control values. Mean arterial pressure, central blood volume, and total peripheral resistance decreased, pulmonary vascular resistance increased, and lung extravascular thermal volume remained unchanged. In all experiments postmortem extravascular lung water-to-dry weight ratio was unchanged. We conclude that histamine does not increase lung water content and that beta-receptor blockade does not modify this response.

摘要

研究了静脉注射组胺(10微克碱基·千克⁻¹·分钟⁻¹)90分钟,以及在有或无β(普萘洛尔)受体阻断情况下对肺水和血流动力学的影响。在麻醉犬中,用冷的3%盐水作为指示剂来测定心指数、中心血容量和肺血管外热容量。单独使用普萘洛尔会降低每搏量和心指数,但会增加中心血容量、总外周阻力以及平均肺动脉压和肺动脉楔压。肺血管阻力、平均动脉压和肺血管外热容量未发生变化。组胺与普萘洛尔一起使用会进一步降低每搏量和心指数,而平均肺动脉压和肺动脉楔压则恢复到对照值。平均动脉压、中心血容量和总外周阻力降低,肺血管阻力增加,肺血管外热容量保持不变。在所有实验中,死后肺血管外水与干重的比值未发生变化。我们得出结论,组胺不会增加肺水含量,并且β受体阻断不会改变这种反应。

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Effects of histamine on lung water and hemodynamics after beta-blockade.组胺对β受体阻滞剂后肺水及血流动力学的影响。
J Appl Physiol Respir Environ Exerc Physiol. 1983 Apr;54(4):967-71. doi: 10.1152/jappl.1983.54.4.967.
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