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硝普钠和硝酸甘油给药对微循环的影响

[Changes in microcirculation by the administration of sodium nitroprusside and nitroglycerin].

作者信息

Franke N, Endrich B, Messmer K

出版信息

Schweiz Med Wochenschr. 1981 Jun 27;111(26):1017-20.

PMID:6791278
Abstract

The effects of hypotension induced by sodium nitroprusside (SNP) or nitroglycerin (NTG) were evaluated in hamsters (n = 12). No differences in macrohemodynamic parameters were found during and after hypotension with either drug tested. SNP dilated predominantly the precapillaries and NTG dilated all microvascular segments. Blood cell velocity decreased in both groups. A significant volume of blood was diverted through av-shunts during SNP hypotension of 40 mm Hg. Capillary density decreased significantly during and after SNP-induced hypotension, whereas capillary density remained unchanged when NTG was used. The data favour the use of NTG when hypotension is deliberately induced.

摘要

在仓鼠(n = 12)中评估了硝普钠(SNP)或硝酸甘油(NTG)诱导的低血压效应。在使用任一测试药物诱导低血压期间及之后,未发现宏观血流动力学参数存在差异。SNP主要扩张毛细血管前血管,而NTG扩张所有微血管段。两组的血细胞速度均降低。在SNP诱导40 mmHg低血压期间,大量血液通过动静脉分流。在SNP诱导的低血压期间及之后,毛细血管密度显著降低,而使用NTG时毛细血管密度保持不变。这些数据支持在有意诱导低血压时使用NTG。

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