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轻度出血后动脉血压控制系统的不稳定状态。

Unstable state of the arterial pressure control system after a mild hemorrhage.

作者信息

Hosomi H

出版信息

Am J Physiol. 1978 Nov;235(5):R279-85. doi: 10.1152/ajpregu.1978.235.5.R279.

Abstract

The stability of the arterial pressure control system after a mild hemorrhage (5 ml/kg body wt) was studied in 10 anesthetized cats by analyzing the responses of arterial pressure and of heart rate and the dead time (L) of heart rate response to a minute, rapid test hemorrhage (1 ml/kg body wt). The overall open-loop gain (H) of the arterial pressure control system was estimated from the ratio of arterial pressure fall immediately after the quick hemorrhage over the steady-state fall. Increases in H and L were correlated with the tendency of the arterial pressure control system to be unstable and oscillate. Oscillation in arterial pressure was always accompanied by a marked increase in heart rate (deltaHR), which represents an enhanced activity of the sympathetic nervous system and serves to restore arterial pressure toward the prehemorrhage level. The present study indicates that the magnitude of deltaHR also serves as a good predictor of arterial pressure oscillation.

摘要

通过分析动脉血压和心率的反应以及心率对每分钟快速试验性出血(1 ml/kg体重)反应的死区时间(L),研究了10只麻醉猫在轻度出血(5 ml/kg体重)后动脉压力控制系统的稳定性。根据快速出血后立即出现的动脉血压下降与稳态下降的比值,估算动脉压力控制系统的总体开环增益(H)。H和L的增加与动脉压力控制系统不稳定和振荡的趋势相关。动脉血压振荡总是伴随着心率显著增加(δHR),这代表交感神经系统活动增强,并有助于将动脉血压恢复到出血前水平。本研究表明,δHR的大小也是动脉血压振荡的良好预测指标。

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