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内源性血管加压素刺激对大鼠全身和局部血流动力学的影响。

Systemic and regional hemodynamic effects of endogenous vasopressin stimulation in rats.

作者信息

Charocopos F, Hatzinikolaou P, North W G, Gavras H

出版信息

Am J Physiol. 1982 Oct;243(4):H560-5. doi: 10.1152/ajpheart.1982.243.4.H560.

Abstract

We investigated the systemic and regional hemodynamic alterations induced in normotensive anephric rats by stimulation of endogenous vasopressin with an acute sodium and fluid load and following vasopressin inhibition with a specific antagonist of its vasoconstricting action. Blood pressure and total peripheral resistance were significantly higher and cardiac output was lower in rats with stimulated vasopressin, and all were reversed to near control levels in rats receiving the vasopressin inhibitor. Regional blood flows were diminished in most organs and local vascular resistance was elevated compared with control animals, but the magnitude of change varied widely. In fact, heart blood flow did not decrease significantly and brain blood flow actually increased indicating small or no change in vascular resistance of these organs. Moreover, fractional distribution of the diminished cardiac output to these organs was significantly higher, so that blood flow to vital organs was maintained at the expense of blood flow to other tissues. In rats that received the vasopressin antagonist after the saline infusion, regional blood flows were similar to those of control animals. Blood pressures at the base line and after hypertonic NaCl infusion correlated closely with the corresponding plasma levels of control and stimulated vasopressin.

摘要

我们研究了通过急性钠和液体负荷刺激内源性血管加压素以及用其血管收缩作用的特异性拮抗剂抑制血管加压素后,正常血压的无肾大鼠所诱导的全身和局部血流动力学改变。刺激血管加压素的大鼠血压和总外周阻力显著升高,心输出量降低,而接受血管加压素抑制剂的大鼠所有这些指标均恢复至接近对照水平。与对照动物相比,大多数器官的局部血流减少,局部血管阻力升高,但变化幅度差异很大。实际上,心脏血流没有显著减少,脑血流反而增加,表明这些器官的血管阻力变化很小或没有变化。此外,心输出量减少部分分配到这些器官的比例显著更高,因此重要器官的血流得以维持,代价是其他组织的血流减少。在输注生理盐水后接受血管加压素拮抗剂的大鼠中,局部血流与对照动物相似。基线血压和高渗氯化钠输注后的血压与对照和刺激血管加压素的相应血浆水平密切相关。

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