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原发性高血压患者的心输出量、氧耗量及肾血流量

Cardiac output, oxygen consumption and renal blood flow in essential hypertension.

作者信息

London G M, Safar M E, Bouthier J L, Gitelman R M

出版信息

Clin Sci (Lond). 1984 Sep;67(3):313-9. doi: 10.1042/cs0670313.

Abstract

Cardiac output, oxygen consumption, total blood volume and mean circulatory transit time were investigated at rest in men with sustained essential hypertension in comparison with normal subjects of the same age and sex. In normal subjects and in patients with hypertension, oxygen consumption was positively correlated to cardiac output. In hypertensives, the slope of the curve was significantly shallower with an increase in arteriovenous oxygen difference. Oxygen consumption in both populations was negatively correlated with mean circulatory transit time but not with total blood volume. In normal subjects, mean circulatory transit time and arteriovenous oxygen difference were positively correlated. The correlation was not significant in hypertensive patients. The study suggests important abnormalities in the transport and cost of energy in erythrocytes of patients with sustained essential hypertension.

摘要

对患有持续性原发性高血压的男性在静息状态下的心输出量、耗氧量、总血容量和平均循环时间进行了研究,并与相同年龄和性别的正常受试者进行了比较。在正常受试者和高血压患者中,耗氧量与心输出量呈正相关。在高血压患者中,随着动静脉氧差的增加,曲线斜率明显变浅。两组人群的耗氧量均与平均循环时间呈负相关,但与总血容量无关。在正常受试者中,平均循环时间和动静脉氧差呈正相关。在高血压患者中,这种相关性不显著。该研究表明持续性原发性高血压患者红细胞的能量运输和消耗存在重要异常。

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