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肾血管性高血压:氟烷和恩氟烷的作用

Renovascular hypertension: effect of halothane and enflurane.

作者信息

Woodside J R, Beckman J J, Althaus J S, Peach M J, Longnecker D E, Miller E D

出版信息

Anesthesiology. 1984 May;60(5):440-7.

PMID:6424515
Abstract

Male Wistar rats were anesthetized at 6 weeks of age and a silver clip placed around the renal artery to produce renovascular hypertension. The rats were allowed to grow on a normal sodium diet for the next 6-9 weeks. Using diethyl ether anesthesia, arterial and venous cannulae were placed and the animals allowed to awaken in restraining cages. The group of rats was divided into three groups: awake (n = 7), halothane 1.3 vol% (n = 9), and enflurane 2.2 vol% (n = 8). The protocol consisted of a 1-h control awake period, 1 h of stable anesthesia (one group received no anesthesia), and 30-min iv infusion of saralasin, a competitive inhibitor of angiotensin II. Plasma renin activity (PRA) and plasma catecholamines were measured after 1 h of stable anesthesia and after the saralasin infusion. In additional rats treated identically, radiolabelled microspheres were used to measure cardiac output and regional blood flows during halothane (n = 7) or enflurane (n = 6) anesthesia. Principal responses were as follows: mean arterial pressure (MAP) was 193 +/- 4 mmHg awake and decreased to 114 +/- 3 mmHg and 135 +/- 3 mmHg with halothane and enflurane, respectively. Saralasin decreased MAP in the awake group to 176 +/- 3 mmHg and to 69 +/- 3 mmHg and 96 +/- 5 mmHg with halothane and enflurane, respectively. PRA in the awake rats was 7.24 +/- 1.3 ng X ml-1 X h-1. PRA increased with halothane but decreased with enflurane. Plasma catecholamines were decreased markedly by saralasin and by both anesthetic agents.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

6周龄雄性Wistar大鼠接受麻醉,在肾动脉周围放置银夹以诱发肾血管性高血压。随后6至9周,让大鼠在正常钠饮食条件下生长。使用乙醚麻醉,插入动脉和静脉套管,使动物在约束笼中苏醒。将大鼠分为三组:清醒组(n = 7)、1.3体积%氟烷组(n = 9)和2.2体积%恩氟烷组(n = 8)。实验方案包括1小时的清醒对照期、1小时的稳定麻醉期(一组不接受麻醉)以及30分钟静脉输注血管紧张素II竞争性抑制剂沙拉新。在稳定麻醉1小时后以及沙拉新输注后,测量血浆肾素活性(PRA)和血浆儿茶酚胺。在另外一组处理相同的大鼠中,使用放射性微球在氟烷(n = 7)或恩氟烷(n = 6)麻醉期间测量心输出量和局部血流。主要反应如下:清醒时平均动脉压(MAP)为193±4 mmHg,氟烷和恩氟烷麻醉时分别降至114±3 mmHg和135±3 mmHg。沙拉新使清醒组MAP降至176±3 mmHg,氟烷和恩氟烷麻醉时分别降至69±3 mmHg和96±5 mmHg。清醒大鼠的PRA为7.24±1.3 ng·ml⁻¹·h⁻¹。PRA在氟烷麻醉时升高,但在恩氟烷麻醉时降低。沙拉新和两种麻醉剂均使血浆儿茶酚胺显著降低。(摘要截选至250词)

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