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氧和二氧化碳在犬及猪右冠状动脉循环中的局部血管活性

Local vasoactivity of oxygen and carbon dioxide in the right coronary circulation of the dog and pig.

作者信息

Ely S W, Sawyer D C, Scott J B

出版信息

J Physiol. 1982 Nov;332:427-39. doi: 10.1113/jphysiol.1982.sp014422.

Abstract
  1. Eight mongrel dogs were anaesthetized with sodium thiamylal and chloralose-urethane, ventilated, vagotomized and heparinized. Five Poland-China pigs were anaesthetized with sodium thiamylal and nitrous oxide, ventilated, vagotomized and heparinized. 2. Extracorporeal perfusion of the right coronary artery at constant pressure (100 mmHg) was instituted. A lung from a donor animal was interposed in the coronary perfusion circuit to effect changes in CO2 and O2 tensions in the coronary arterial blood while systemic blood gases were maintained at normal levels. 3. Local hypoxia (PO2 range 17-22 mmHg) produced a 25-75% decrease in coronary vascular resistance (P less than 0.05) and a 0-24% (not significant) decrease in right ventricular dP/dt. 4. Local changes in PCO2 over the range 8-105 mmHg were associated with a 17-58% decrease in coronary vascular resistance (P less than 0.05), a 19-24% decrease in right ventricular dP/dt (P less than 0.05) with no change in right ventricular end-diastolic pressure, and a 1-18% (not significant) decrease in heart rate. 5. These studies suggest that local decreases in O2 or increases in CO2 tensions produce decreases in right coronary vascular resistance that are in the opposite direction to those that would be expected from the observed changes in heart rate and contractility (two primary determinants of myocardial oxygen consumption). 6. These data support the hypothesis that CO2 and O2 are locally vasoactive in the coronary circulation.
摘要
  1. 八只杂种狗用硫喷妥钠和氯醛糖 - 乌拉坦麻醉,进行通气、迷走神经切断和肝素化处理。五只波兰 - 中国猪用硫喷妥钠和氧化亚氮麻醉,进行通气、迷走神经切断和肝素化处理。2. 以恒定压力(100 mmHg)对右冠状动脉进行体外灌注。将供体动物的肺置于冠状动脉灌注回路中,以改变冠状动脉血液中的二氧化碳和氧气张力,同时将全身血气维持在正常水平。3. 局部低氧(氧分压范围为17 - 22 mmHg)使冠状动脉血管阻力降低25 - 75%(P < 0.05),右心室dP/dt降低0 - 24%(无统计学意义)。4. 二氧化碳分压在8 - 105 mmHg范围内的局部变化与冠状动脉血管阻力降低17 - 58%(P < 0.05)、右心室dP/dt降低19 - 24%(P < 0.05)相关,右心室舒张末期压力无变化,心率降低1 - 18%(无统计学意义)。5. 这些研究表明,局部氧气减少或二氧化碳张力增加会导致右冠状动脉血管阻力降低,其方向与心率和收缩力(心肌耗氧量的两个主要决定因素)的观察变化所预期的方向相反。6. 这些数据支持二氧化碳和氧气在冠状动脉循环中具有局部血管活性的假说。
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c04a/1197407/f113982d27c7/jphysiol00669-0443-a.jpg

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