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动静脉分流对大鼠心血管血流动力学的急性影响。

Acute effects of arterio-venous shunt on cardiovascular hemodynamics in rat.

作者信息

Flaim S F, Minteer W J, Zelis R

出版信息

Pflugers Arch. 1980 Jun;385(3):203-9. doi: 10.1007/BF00647458.

Abstract

The cardiovascular effects of an acute high cardiac output state (Acute HCO) were determined in rats 24 h after opening an abdominal aorta-caval shunt equal to 50% of total cardiac output (CO). Heart rate (HR), left ventricular peak (LVP), end diastolic (LVEDP), and arterial (AP) pressures, CO, stroke volume (SV), total systemic and regional vascular resistance (VR), regional blood flow (BF) (radioactive microspheres), and tissue fluid content data were collected. In Acute HCO, AP and LVP were reduced while LVEDP was elevated, total CO was increased and total VR was decreased while systemic CO and VR were unchanged. In Acute HCO, HR did not change significantly and SV was significantly increased. Lung water in Acute HCO was significantly greater than control. Regional BF changes in Acute HCO include skeletal muscle reflex vasoconstriction and splanchnic and cerebral dilation. The results in conjunction with previous data on chronic HCO indicate that in the rat (1) increased lung water which is absent after cardiovascular compensation is an acute result of HCO, and (2) the acute phase of cardiac compensation to HCO occurs in the absence of a tachycardia response.

摘要

在大鼠腹部主动脉 - 腔静脉分流相当于总心输出量(CO)的50% 24小时后,测定急性高心输出量状态(急性HCO)的心血管效应。收集心率(HR)、左心室峰值(LVP)、舒张末期(LVEDP)和动脉(AP)压力、CO、每搏输出量(SV)、总全身和局部血管阻力(VR)、局部血流量(BF)(放射性微球)以及组织液含量数据。在急性HCO中,AP和LVP降低,而LVEDP升高,总CO增加,总VR降低,而全身CO和VR不变。在急性HCO中,HR无显著变化,SV显著增加。急性HCO中的肺水明显多于对照组。急性HCO中的局部BF变化包括骨骼肌反射性血管收缩以及内脏和脑扩张。这些结果与先前关于慢性HCO的数据表明,在大鼠中:(1)心血管代偿后不存在的肺水增加是HCO的急性结果;(2)心脏对HCO的急性期代偿发生在无心动过速反应的情况下。

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