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血管加压素对垂体切除大鼠肝脏血流的影响。

Effect of vasopressin on liver blood flow in the hypophysectomised rat.

作者信息

Jenkins S A, Mooney B, Taylor I, Shields R

出版信息

Digestion. 1984;29(3):177-82. doi: 10.1159/000199028.

Abstract

Liver blood flow (xenon-133 clearance method) and portal venous flow were measured in hypophysectomised rats following the infusion of vasopressin at a range of infusion varying from 0.0125 to 0.8 microU/g b.w./min over the range 0.0125-0.1 microU/g b.w./min, portal venous flow was reduced, the reduction being linearly related to the logarithm of the dose (r = -0.88). Following the infusion of 0.8 microU/g b.w. of vasopressin, portal venous flow significantly increased above pre-infusion levels (p less than 0.05). Liver blood flow was increased significantly (p less than 0.05) when vasopressin was infused over the range 0.0125-0.2 microU/g b.w. At higher rates of infusion, liver blood flow was progressively reduced, and at 0.8 microU/g b.w./min liver blood flow was less than pre-infusion levels (p less than 0.05). These data suggest that the effects of vasopressin on hepatic haemodynamics is related to the rate of infusion with a reversal of effects at higher rates of infusion. The implications of these findings in relation to the use of vasopressin in the management of portal hypertension and bleeding oesophageal varices is discussed.

摘要

采用氙 - 133清除法测定垂体切除大鼠的肝血流量,并在0.0125 - 0.8微单位/克体重/分钟的一系列输注速率下输注血管加压素后测量门静脉血流量。在0.0125 - 0.1微单位/克体重/分钟范围内,门静脉血流量减少,减少量与剂量的对数呈线性相关(r = -0.88)。在输注0.8微单位/克体重的血管加压素后,门静脉血流量显著高于输注前水平(p < 0.05)。当血管加压素以0.0125 - 0.2微单位/克体重的范围输注时,肝血流量显著增加(p < 0.05)。在较高的输注速率下,肝血流量逐渐减少,在0.8微单位/克体重/分钟时肝血流量低于输注前水平(p < 0.05)。这些数据表明,血管加压素对肝脏血流动力学的影响与输注速率有关,在较高的输注速率下作用会逆转。本文讨论了这些发现对于血管加压素在门静脉高压症和食管静脉曲张出血治疗中的应用的意义。

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