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毛细血管前水平的管径变化如何影响心血管功能?

How do changes in diameter at the precapillary level affect cardiovascular function?

作者信息

Folkow B, Karlström G, Nilsson H, Sjöblom N

出版信息

J Cardiovasc Pharmacol. 1984;6 Suppl 2:S280-8. doi: 10.1097/00005344-198406002-00002.

DOI:10.1097/00005344-198406002-00002
PMID:6206336
Abstract

A survey is given of the various high-pressure precapillary vascular sections and of how they affect local and overall cardiovascular functions, with special emphasis put on the important "precapillary resistance vessels." The complex interactions between hemodynamic effects dependent on (a) vessel design, (b) transmural pressure, (c) "passive" wall distensibility, and (d) "active" smooth muscle responses are outlined in principle and experimentally illustrated with respect to systemic resistance control. Particular attention is devoted to the influence of the sympathetic vasoconstrictor fibers on precapillary vascular functions, concerning aspects such as speed, precision, range, and differentiation of the neurogenic effects, because these fibers represent the most powerful and widespread of the vascular control mechanisms involved in cardiovascular homeostasis. How these fibers in well-innervated vascular circuits can command up to the maximum contractile capacity of both the precapillary resistance and postcapillary capacitance vessels is illustrated, as well as the way in which these sets of vessels respond to even single nerve impulses with twitchlike, rapid contractions.

摘要

本文综述了各种高压毛细血管前血管段及其对局部和整体心血管功能的影响,特别强调了重要的“毛细血管前阻力血管”。原则上概述了取决于以下因素的血流动力学效应之间的复杂相互作用:(a)血管设计、(b)跨壁压力、(c)“被动”血管壁扩张性和(d)“主动”平滑肌反应,并通过实验说明了其对全身阻力控制的影响。特别关注交感缩血管纤维对毛细血管前血管功能的影响,涉及神经源性效应的速度、精度、范围和分化等方面,因为这些纤维代表了参与心血管稳态的最强大和分布最广的血管控制机制。文中说明了在神经支配良好的血管回路中,这些纤维如何能够使毛细血管前阻力血管和毛细血管后容量血管达到最大收缩能力,以及这些血管组如何对单个神经冲动产生类似抽搐的快速收缩反应。

相似文献

1
How do changes in diameter at the precapillary level affect cardiovascular function?毛细血管前水平的管径变化如何影响心血管功能?
J Cardiovasc Pharmacol. 1984;6 Suppl 2:S280-8. doi: 10.1097/00005344-198406002-00002.
2
Role of splanchnic resistance vessels in overall cardiovascular homeostasis.内脏阻力血管在整体心血管稳态中的作用。
Fed Proc. 1983 Apr;42(6):1673-7.
3
Myogenic mechanisms in the control of systemic resistance. Introduction and historical background.控制全身阻力中的肌源性机制。引言与历史背景。
J Hypertens Suppl. 1989 Sep;7(4):S1-4.
4
Age- and pressure-dependent changes of systemic resistance vessels concerning the relationships between geometric design, wall distensibility, vascular reactivity and smooth muscle sensitivity.关于几何设计、血管壁扩张性、血管反应性和平滑肌敏感性之间的关系,全身阻力血管的年龄和压力依赖性变化。
Acta Physiol Scand. 1984 Sep;122(1):17-33. doi: 10.1111/j.1748-1716.1984.tb07477.x.
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Role of the vascular factor in hypertension.血管因素在高血压中的作用。
Contrib Nephrol. 1977;8:81-94. doi: 10.1159/000400617.
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Myogenic mechanisms in the control of systemic resistance and transcapillary fluid exchange in man.人体全身阻力及毛细血管间液体交换控制中的肌源性机制
J Hypertens Suppl. 1989 Sep;7(4):S85-91.
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Precapillary control of the splanchnic vascular bed.
J Cardiovasc Pharmacol. 1985;7 Suppl 3:S73-9. doi: 10.1097/00005344-198500073-00009.
8
Hypertensive structural changes in systemic precapillary resistance vessels: how important are they for in vivo haemodynamics?系统性毛细血管前阻力血管的高血压性结构改变:它们对体内血流动力学有多重要?
J Hypertens. 1995 Dec;13(12 Pt 2):1546-59.
9
Integrated myogenic and metabolic control of vascular tone in skeletal muscle during autoregulation of blood flow.骨骼肌血流自动调节过程中血管张力的整合性肌源性和代谢性控制。
Microvasc Res. 1987 May;33(3):353-76. doi: 10.1016/0026-2862(87)90028-8.
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The microcirculation in hypertension.高血压中的微循环。
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