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[静脉注射硝酸甘油治疗实验性心肌梗死时心脏肾上腺素能神经支配的组织化学研究]

[Histochemical study of the adrenergic innervation of the heart in experimental myocardial infarct treated by intravenous nitroglycerin administration].

作者信息

Sosunov A A, Afonskaia N I, Ostrogorskiĭ Iu M, Smirnova S Iu

出版信息

Kardiologiia. 1982 Mar;22(3):109-13.

PMID:6804682
Abstract

Histochemical study of the adrenergic innervation of the heart of rabbits in experimental myocardial infarction showed that the content and distribution of the mediator noradrenaline in the nerve terminals under-goes essential changes. The amount of mediator in the nerve fibers decreases not only in the zone of the infarct but also in the heart areas not involved in the infarction, particularly in the left ventricle. Changes in the fluorescence of the nerve terminals associated with redistribution of the mediator in them are described. The disorders revealed in the sympathetic nerve apparatus of the heart provide evidence that in myocardial infarction the heart reacts as a single whole; these changes may aggravate the course of the infarction. Intravenous nitroglycerin administration helps to preserve the mediator in the nerve terminals, which is regarded as a favourable effect of the drug.

摘要

对实验性心肌梗死家兔心脏肾上腺素能神经支配的组织化学研究表明,神经末梢中介质去甲肾上腺素的含量和分布发生了本质变化。神经纤维中介质的量不仅在梗死区域减少,而且在未发生梗死的心脏区域也减少,尤其是在左心室。描述了与介质在神经末梢中重新分布相关的神经末梢荧光变化。心脏交感神经装置中出现的紊乱证明,在心肌梗死中,心脏作为一个整体做出反应;这些变化可能会加重梗死的进程。静脉注射硝酸甘油有助于在神经末梢中保留介质,这被认为是该药物的有利作用。

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