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循环血容量的变化会影响清醒犬的主动脉特性阻抗。

Changes in circulating blood volume influence aortic characteristic impedance in awake dogs.

作者信息

Stone D N, Dujardin J P, Klopfenstein H S, Brooks H L, Pieper H P

出版信息

Am J Physiol. 1984 Apr;246(4 Pt 2):H579-84. doi: 10.1152/ajpheart.1984.246.4.H579.

Abstract

Experiments on five chronically instrumented dogs were performed to study the effects of changes in circulating blood volume on the aortic smooth muscle activity in awake animals. The external diameter of the proximal descending aorta was measured with a sonomicrometer. Aortic pressure was measured in the same cross-sectional area with a catheter-tip transducer. Acute hemorrhage of 15% of the estimated blood volume was performed 17 times by quickly withdrawing blood through a jugular cannula. At any given arterial pressure within the range of overlap the aortic diameter (D) was always decreased after hemorrhage compared with control, and the pressure-strain elastic modulus (Ep) and the characteristic impedance (Zc) were always increased. For example at 140 kdyn X cm-2 (104.5 mmHg) delta D = -0.61 +/- 0.12 mm or delta D = -3.44 +/- 0.68% of control, delta Ep = 31.0 +/- 8.6%, and delta Zc = 22.6 +/- 4.5%. Each of these changes was significant with P less than 0.01. Volume expansion of 30% was performed eight times by infusing warm saline. At any given arterial pressure D was always increased and Ep and Zc were always decreased. At 140 kdyn X cm-2 delta D = 0.55 +/- 0.15 mm or delta D = 3.12 +/- 0.95% of control, delta Ep = -12.4 +/- 3.2%, and delta Zc = -12.0 +/- 2.1%. Each of these changes was significant with P less than 0.01. Since in these awake animals the changes in circulatory blood volume modified the arterial pressure only slightly, the contribution of viscoelasticity and myogenicity to the observed responses was minimal.

摘要

对五只长期植入仪器的狗进行了实验,以研究循环血容量变化对清醒动物主动脉平滑肌活动的影响。用超声测距仪测量降主动脉近端的外径。用导管尖端换能器在同一横截面积处测量主动脉压力。通过颈静脉插管快速抽血,进行了17次相当于估计血容量15%的急性出血。在重叠范围内的任何给定动脉压下,出血后主动脉直径(D)与对照相比总是减小,压力-应变弹性模量(Ep)和特征阻抗(Zc)总是增加。例如,在140 kdyn×cm-2(104.5 mmHg)时,ΔD = -0.61±0.12 mm或ΔD =对照值的-3.44±0.68%,ΔEp = 31.0±8.6%,ΔZc = 22.6±4.5%。这些变化中的每一个都具有统计学意义,P值小于0.01。通过输注温盐水进行了8次30%的容量扩张。在任何给定动脉压下,D总是增加,Ep和Zc总是减小。在140 kdyn×cm-2时,ΔD = 0.55±0.15 mm或ΔD =对照值的3.12±0.95%,ΔEp = -12.4±3.2%,ΔZc = -12.0±2.1%。这些变化中的每一个都具有统计学意义,P值小于0.01。由于在这些清醒动物中,循环血容量的变化仅轻微改变动脉压,因此粘弹性和肌源性对观察到的反应的贡献最小。

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