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清醒家兔双侧透明质酸酶性肾周炎高血压的全身和局部血流动力学特征

Systemic and regional hemodynamic characteristics of bilateral cellophane perinephritis hypertension in conscious rabbits.

作者信息

Bolt G R, Saxena P R

出版信息

Clin Exp Hypertens A. 1983;5(6):885-901. doi: 10.3109/10641968309081815.

Abstract

Using the radioactive microsphere technique, systemic and regional hemodynamic variables were measured in normotensive rabbits and in rabbits with bilateral cellophane perinephritis hypertension. An average decrease in cardiac output of 18 percent was measured in the hypertensive rabbits as a result of a reduction in stroke volume; heart rate remained unchanged. Thus, in the established phase, hypertension was maintained by the elevated total peripheral resistance. A redistribution of cardiac output was observed in the hypertensive rabbits; a significantly higher fraction was received by the brain, small intestine and heart. The weight normalized blood flow to the kidneys, spleen, skeletal muscles, bones and fat was significantly decreased while an increase in vascular resistance was observed in the hypertensive rabbits in all the organs investigated. A negative correlation existed between the weight of the left ventricle and the blood flow to the left ventricle in hypertensive rabbits, suggesting inadequate coronary perfusion as myocardial hypertrophy becomes more pronounced.

摘要

采用放射性微球技术,对正常血压兔和双侧玻璃纸肾周炎高血压兔的全身和局部血流动力学变量进行了测量。由于每搏输出量减少,高血压兔的心输出量平均下降了18%;心率保持不变。因此,在高血压的既定阶段,高血压是由总外周阻力升高维持的。在高血压兔中观察到心输出量重新分布;大脑、小肠和心脏接受的比例显著更高。高血压兔中,肾脏、脾脏、骨骼肌、骨骼和脂肪的重量标准化血流量显著降低,而在所有研究器官中均观察到血管阻力增加。高血压兔的左心室重量与左心室血流量之间存在负相关,这表明随着心肌肥厚加剧,冠状动脉灌注不足。

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