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压力感受器和化学感受器去神经支配犬对缺氧的脑血管反应

Cerebrovascular response to hypoxia in baroreceptor- and chemoreceptor-denervated dogs.

作者信息

Traystman R J, Fitzgerald R S

出版信息

Am J Physiol. 1981 Nov;241(5):H724-31. doi: 10.1152/ajpheart.1981.241.5.H724.

Abstract

Cerebral hemodynamic responses to arterial hypoxemia were studied in anesthetized paralyzed dogs that were or that had undergone carotid baroreceptor denervation, carotid chemoreceptor denervation, vagotomy, or both vagotomy and carotid sinus nerve section. Arterial O2 content was lowered from control (19.0 vol%) to 9.6 vol% by either decreasing arterial O2 tension [hypoxic hypoxemia (HH)] or increasing carboxyhemoglobin saturation[carbon-monoxide hypoxemia (COH)] at normal O2 tension. In intact animals (composite control values from all groups) HH and COH resulted in similar increases in cerebral blood flow (to 205 and 197% of control, respectively). Cerebral vascular resistance decreased more with COH than with HH (to 42 vs. 60% of control). The response from carotid baroreceptor-denervated animals and from vagotomized animals did not differ from that of the intact animals. After carotid chemoreceptor denervation and combined carotid sinus nerve section and vagotomy, both HH and COH increased cerebral blood flow to 194% of control (same increase as in intact animals, carotid baroreceptor-denervated animals, and vagotomized animals) and produced equal reductions in cerebral vascular resistance (to 34% of control). These data show that the carotid and aortic chemoreceptors are not necessary for the increase in cerebral blood flow provoked by hypoxemia and that this response is not modified by the carotid and aortic baroreceptors.

摘要

在麻醉并麻痹的犬类中研究了大脑对动脉低氧血症的血流动力学反应,这些犬类进行了或已经接受了颈动脉压力感受器去神经支配、颈动脉化学感受器去神经支配、迷走神经切断术,或迷走神经切断术和颈动脉窦神经切断术。通过在正常氧分压下降低动脉氧张力[低氧性低氧血症(HH)]或增加碳氧血红蛋白饱和度[一氧化碳低氧血症(COH)],将动脉氧含量从对照值(19.0容积%)降至9.6容积%。在完整动物中(所有组的综合对照值),HH和COH导致脑血流量有相似的增加(分别增至对照值的205%和197%)。与HH相比,COH使脑血管阻力降低得更多(降至对照值的42%对60%)。颈动脉压力感受器去神经支配动物和迷走神经切断术动物的反应与完整动物的反应无差异。在颈动脉化学感受器去神经支配以及颈动脉窦神经切断术和迷走神经切断术联合之后,HH和COH均使脑血流量增加至对照值的194%(与完整动物、颈动脉压力感受器去神经支配动物和迷走神经切断术动物的增加相同),并使脑血管阻力产生同等程度的降低(降至对照值的34%)。这些数据表明,对于低氧血症引发的脑血流量增加,颈动脉和主动脉化学感受器并非必需,并且这种反应不受颈动脉和主动脉压力感受器的影响。

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