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失血性低血压和休克时的肝血流量及葡萄糖代谢

Liver blood flow rate and glucose metabolism in hemorrhagic hypotension and shock.

作者信息

Bor N M, Alvur M, Ercan M T, Bekdik C F

出版信息

J Trauma. 1982 Sep;22(9):753-8. doi: 10.1097/00005373-198209000-00006.

Abstract

Liver blood flow was measured in dogs using 133Xe clearance technique under control conditions and during various stages of hypotension and of hemorrhagic shock. Initial liver mean blood flow rate in all dogs combined are 101.9 +/- 11.5 ml/100 gm liver/min and was not significantly altered in the control group. Liver blood flow rate was reduced in the experimental group during hemorrhagic hypotension and shock and was correlated with the severity of the disease. Peripheral vasodilatation was observed in one subgroup of experimental animals while severe vasoconstriction was found in another subgroup. Glucose concentrations in the hepatic vein were significantly above that of arterial and portal venous blood; all experimental animals were hyperglycemic. The outflow of glucose from the liver was increased during shock in ten animals. It was, however, reduced in 17 animals.

摘要

采用¹³³Xe清除技术在对照条件下以及低血压和失血性休克的各个阶段对犬的肝脏血流进行了测量。所有犬合并后的初始肝脏平均血流速率为101.9±11.5 ml/100 g肝脏/分钟,对照组未发生显著改变。在失血性低血压和休克期间,实验组的肝脏血流速率降低,且与疾病严重程度相关。在一个实验组动物亚组中观察到外周血管扩张,而在另一个亚组中发现严重血管收缩。肝静脉中的葡萄糖浓度显著高于动脉血和门静脉血;所有实验动物均出现高血糖。十只动物在休克期间肝脏葡萄糖流出增加。然而,17只动物的葡萄糖流出减少。

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