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肌肉微循环:全身缺氧期间组织pH值、二氧化碳分压和氧分压的影响

muscle microcirculation: effects of tissue pH, PCO2, and PO2 during systemic hypoxia.

作者信息

Morff R J, Harris P D, Wiegman D L, Miller F N

出版信息

Am J Physiol. 1981 May;240(5):H746-54. doi: 10.1152/ajpheart.1981.240.5.H746.

Abstract

The responses of arterioles and venules to systemic hypoxia (fractional inspired O2 concentration 0.10) were determined for the rat cremaster muscle that was positioned with intact nerve and vascular supplies in a tissue bath that had controlled pH, O2 tension (PO2), CO2 tension (PCO2), and temperature. Blood pressure and heart rate were decreased significantly during systemic hypoxia. First- and second-order arterioles actively constricted during systemic hypoxia, whereas most first-, second-, and third-order venules had biphasic responses (dilation followed by constriction). There were no significant differences in the active arteriolar responses to systemic hypoxia when cremaster bath pH was altered from 6.9 to 7.2, or when bath PCO2 was changed from 60 +/- 2.2 to less than 5 mmHg; but, there was significantly greater arteriolar constriction with high bath PO2 (139 +/- 1.3 mmHg) in comparison to low bath PO2 (4.5 +/- 0.5 mmHg). Decreased bath pH, decreased PO2, and increased PCO2 had no effect on the dilation responses of first-, and second-, and third-order venules to systemic hypoxia; however, these bath alterations attenuated the constriction responses of third-order venules. alpha-Adrenergic receptor blockade did not alter the arteriolar responses to systemic hypoxia. Our data indicate 1) that there is a centrally mediated stimulus for constriction of first-order arterioles during systemic hypoxia, 2) that changes in local cremaster PO2, but not PCO2 or pH, can attenuate this centrally mediated arteriolar constriction, and 3) that the centrally mediated arteriolar constriction does not involve alpha-adrenergic receptors.

摘要

在一个能控制pH值、氧分压(PO₂)、二氧化碳分压(PCO₂)和温度的组织浴槽中,对具有完整神经和血管供应的大鼠提睾肌的小动脉和小静脉对全身性低氧(吸入氧分数浓度为0.10)的反应进行了测定。全身性低氧期间,血压和心率显著下降。一级和二级小动脉在全身性低氧期间会主动收缩,而大多数一级、二级和三级小静脉有双相反应(先扩张后收缩)。当提睾肌浴槽的pH值从6.9改变为7.2,或者浴槽的PCO₂从60±2.2改变为小于5 mmHg时,小动脉对全身性低氧的主动反应没有显著差异;但是,与低浴槽PO₂(4.5±0.5 mmHg)相比,高浴槽PO₂(139±1.3 mmHg)时小动脉收缩明显更强烈。浴槽pH值降低、PO₂降低和PCO₂升高对一级、二级和三级小静脉对全身性低氧的扩张反应没有影响;然而,这些浴槽条件的改变减弱了三级小静脉的收缩反应。α-肾上腺素能受体阻断并没有改变小动脉对全身性低氧的反应。我们的数据表明:1)全身性低氧期间,存在一种中枢介导的刺激,促使一级小动脉收缩;2)局部提睾肌PO₂的变化,而非PCO₂或pH值的变化,可减弱这种中枢介导的小动脉收缩;3)中枢介导的小动脉收缩不涉及α-肾上腺素能受体。

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