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正常血压和高血压妊娠母羊对血管紧张素II的血管反应性。

Vascular reactivity to angiotensin II in the normotensive and hypertensive pregnant ewe.

作者信息

Lieb S M, Cabalum T, Zugaib M, Erkkola R, Tabsh K, Ushioda E, Nuwayhid B S, Brinkman C R, Assali N S

出版信息

Am J Physiol. 1980 Feb;238(2):H209-13. doi: 10.1152/ajpheart.1980.238.2.H209.

Abstract

The circulatory responses to progressively increasing doses of angiotensin II were studied in the same group of chronically instrumented unanesthetized pregnant sheep during three consecutive periods: a) normotensive with intact kidneys; b) normotensive with unilateral nephrectomy; and c) one-kidney hypertension. The results show that 1) the pressor response to a given dose of angiotensin was significantly greater in the normotensive than in the hypertensive condition; 2) uterine blood flow decreased markedly with the development of hypertension; 3) uterine circulatory response to angiotensin depended on the dosage; the response was less the the hypertensive than in the normotensive condition; 4) renal blood flow decreased and renal vascular resistance increased during angiotensin infusion, but the response was less in the hypertensive than in the normotensive condition; the response of the renal circulation decreased with increasing doses of angiotensin. These observations suggest a generalized vascular refractoriness to exogenous angiotensin II in the pregnant ewe with experimental renal hypertension.

摘要

在同一组长期植入仪器的未麻醉怀孕绵羊中,连续三个阶段研究了对逐渐增加剂量的血管紧张素II的循环反应:a)肾脏完整的正常血压状态;b)单侧肾切除后的正常血压状态;c)单肾高血压状态。结果表明:1)在正常血压状态下,对给定剂量血管紧张素的升压反应明显大于高血压状态;2)随着高血压的发展,子宫血流量显著减少;3)子宫对血管紧张素的循环反应取决于剂量;高血压状态下的反应小于正常血压状态;4)在输注血管紧张素期间,肾血流量减少,肾血管阻力增加,但高血压状态下的反应小于正常血压状态;肾循环的反应随着血管紧张素剂量的增加而降低。这些观察结果表明,患有实验性肾性高血压的怀孕母羊对外源性血管紧张素II存在普遍的血管不应性。

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