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犬肝动脉血流对门静脉阻断的反应:肝去神经支配的影响。

The hepatic arterial blood flow response to portal vein occlusion in the dog: the effect of hepatic denervation.

作者信息

Mathie R T, Lam P H, Harper A M, Blumgart L H

出版信息

Pflugers Arch. 1980 Jul;386(1):77-83. doi: 10.1007/BF00584191.

Abstract

The acute effect of portal vein occlusion on hepatic arterial blood flow was studied in a group of nine anaesthetised dogs. The influence of hepatic artery denervation and total liver denervation on the hepatic arterial flow response was determined subsequently. Blood flows in the hepatic artery and portal vein were measured with electromagnetic flowmeters, and hepatic tissue perfusion with 85Krypton clearance. A side-to-side mesocaval shunt was constructed to provide a drainage channel for the mesenteric venous blood during the periods of portal vein occlusion. Occlusion of the portal vein produced an immediate and significant increase in hepatic arterial flow which was sustained at approximately 80% above control for the 6 min period of observation. Total liver blood flow and hepatic tissue perfusion were both significantly reduced by about 40%. Denervation either of the hepatic artery alone or the entire liver produced no change in the response, and it is concluded that there is no neurogenic component either initiating or modifying the early changes in hepatic arterial flow.

摘要

在一组9只麻醉犬中研究了门静脉闭塞对肝动脉血流的急性影响。随后确定了肝动脉去神经支配和全肝去神经支配对肝动脉血流反应的影响。用电磁流量计测量肝动脉和门静脉中的血流,并用85氪清除率测量肝组织灌注。构建侧侧肠系膜上腔静脉分流术,以便在门静脉闭塞期间为肠系膜静脉血提供引流通道。门静脉闭塞使肝动脉血流立即显著增加,在观察的6分钟内维持在比对照高约80%的水平。全肝血流量和肝组织灌注均显著降低约40%。单独对肝动脉或整个肝脏进行去神经支配,反应均无变化,得出的结论是,在启动或改变肝动脉血流的早期变化中不存在神经源性成分。

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