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灌注液温度对犬颈动脉压力感受器反射中浅表静脉反应的影响。

The influence of perfusate temperature on the responses of a superficial vein in the carotid baroreceptor reflex in dogs.

作者信息

Karim F, Araneda G, Hainsworth R

出版信息

Pflugers Arch. 1980 Jan;383(2):79-85. doi: 10.1007/BF00581866.

Abstract

In chloralose-anaesthetised dogs, both vagus nerves were cut and both carotid sinuses vascularly isolated and perfused with blood. The left hind limb was vascularly isolated and the femoral artery and the central end of a superficial metatarsal vein were perfused at constant flows with blood from an oxygenator. Femoral venous pressure was held constant. Arterial and venous responses were determined by measuring changes in arterial perfusion pressure and in the pressure gradient between the superficial metatarsal and femoral veins. Large step increases in carotid sinus pressure resulted in an average decrease in venous gradient of 5.6% when the temperature of the venous perfusate was 38 degrees C and a significantly (P less than 0.01) greater response (8.8%) when the perfusate was at 31 degrees C. When the venous perfusate was cooled from 38 to 31 degrees C, venous gradient increased by averages of 89% when carotid pressure was low, 64% when carotid pressure was high and 32% after lumbar sympathectomy. These responses are significantly different from each other (P less than 0.05). It is concluded that the reflex responses of the superficial vein to maximal stimulation of the baroreceptors were small but they were significantly protentiated by cooling the perfusate. The venous constriction in response to cooling was reduced by raising the carotid pressure and further reduced by surgical sympathectomy.

摘要

在水合氯醛麻醉的犬中,切断双侧迷走神经,将双侧颈动脉窦进行血管分离并用血液灌注。分离左后肢的血管,以恒定流量用来自氧合器的血液灌注股动脉和一条浅表跖静脉的近端。维持股静脉压力恒定。通过测量动脉灌注压以及浅表跖静脉和股静脉之间压力梯度的变化来确定动脉和静脉反应。当静脉灌注液温度为38℃时,颈动脉窦压力大幅阶跃升高导致静脉梯度平均降低5.6%;当灌注液温度为31℃时,反应显著更大(8.8%)(P<0.01)。当静脉灌注液从38℃冷却至31℃时,颈动脉压力低时静脉梯度平均升高89%,颈动脉压力高时升高64%,腰交感神经切除术后升高32%。这些反应彼此之间有显著差异(P<0.05)。得出的结论是,浅表静脉对压力感受器最大刺激的反射反应较小,但通过冷却灌注液可使其显著增强。通过提高颈动脉压力可减少冷却引起的静脉收缩,而手术切除交感神经可进一步减少这种收缩。

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