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苯氧苄胺和多巴胺对大鼠小肠节段性缺血的血流动力学影响。

Haemodynamic effects of phenoxybenzamine and dopamine in segmental ischaemia of the rat small intestine.

作者信息

Gustafsson G, Norlén K, Rentzhog L, Wikström S

出版信息

Acta Chir Scand. 1984;150(2):159-63.

PMID:6720224
Abstract

Two groups of rats were subjected to a segmental intestinal ischaemia of a degree which, according to earlier investigations with this experimental model, causes secondary impairment of the splanchnic blood flow. Both groups were given plasma and an alpha-adrenergic blocking agent (phenoxybenzamine). They were also given dopamine but in different doses, 12 and 50 micrograms X min-1 X kg-1 b.w., respectively. It was found previously that a normal blood flow in the non-occluded parts of the small intestine could be maintained by phenoxybenzamine or the lower dose of dopamine alone in combination with plasma, but the higher dopamine dose caused vasoconstriction, probably because of an alpha-stimulating effect. The combined treatment with penoxybenzamine and dopamine in the present experiments normalized the intestinal blood flow in the non-occluded parts in both groups, i.e. also in the group treated with the higher dose of dopamine. Moreover, the pancreatic circulation was normalized in both groups. Hence alpha-adrenergic blockade combined with dopamine and plasma administration seems to have a positive effect on the splanchnic circulation during segmental intestinal ischaemia in the rat.

摘要

两组大鼠遭受了一定程度的节段性肠缺血,根据此前对该实验模型的研究,这种程度的缺血会导致内脏血流的继发性损害。两组大鼠均接受了血浆和一种α-肾上腺素能阻滞剂(苯氧苄胺)。它们还分别接受了不同剂量的多巴胺,即12和50微克×分钟-1×千克-1体重。此前发现,单独使用苯氧苄胺或较低剂量的多巴胺联合血浆,可维持小肠未闭塞部分的正常血流,但较高剂量的多巴胺会导致血管收缩,可能是由于α刺激作用。在本实验中,苯氧苄胺和多巴胺联合治疗使两组大鼠未闭塞部分的肠血流均恢复正常,即使用较高剂量多巴胺治疗的组也是如此。此外,两组大鼠的胰腺循环均恢复正常。因此,α-肾上腺素能阻滞联合多巴胺和血浆给药似乎对大鼠节段性肠缺血期间的内脏循环有积极作用。

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