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脑缺血升压反应中局部血管床的血流动力学特征

Hemodynamic characteristics of regional vascular beds in cerebral ischemic pressor responses.

作者信息

Takeuchi T, Miyakawa K

出版信息

Jpn J Physiol. 1980;30(1):17-29. doi: 10.2170/jjphysiol.30.17.

Abstract

The mode of participation of three vascular beds of the kidney, intestine and skeletal muscles during blood pressure oscillation elicited by what is called a "side pressure exertion experiment" was investigated in anesthetized rabbits. The effect of varied circulating blood volume on their participation was also studied. The route of the blood supply to the brain was surgically restricted to one common carotid artery and the artery was compressed by exerting side pressure on a segment of it. When the side pressure was elevated in steps, the systemic arterial pressure also rose in steps from normal to the maximum, superimposed by an oscillation. During the course of graded elevation of systemic arterial ,ressure, the regional blood flow in the three vascular beds indicated characteristic changes as follows. The mean renal blood flow indicated simply an exponential decrease, the mean intestinal blood flow showed an initial slight augmentation which was followed by an expontential decrease, and the mean skeletal muscle blood flow exhibited a marked increase of up to 120 mmHg of mean arterial pressure, succeeded by an exponential decrease. Hemorrhaging and volume loading diminished the range of the changes in renal and intestinal resistance. Muscle resistance change was strongly intensified by hemorrhage. It is concluded that "post-ischemic reactive hyperemia" distinctly characterized the response of the three peripheral vascular beds in addition to the neurogenic control.

摘要

在麻醉兔身上研究了在所谓的“侧压施加实验”引起的血压振荡期间,肾、肠和骨骼肌三个血管床的参与模式。还研究了循环血容量变化对它们参与的影响。通过手术将大脑的供血途径限制为一条颈总动脉,并通过对其一段施加侧压来压迫该动脉。当侧压逐步升高时,体动脉压也从正常逐步升至最大值,并叠加有振荡。在体动脉压分级升高的过程中,三个血管床的局部血流呈现出如下特征性变化。平均肾血流量仅呈指数下降,平均肠血流量最初略有增加,随后呈指数下降,平均骨骼肌血流量在平均动脉压高达120 mmHg时显著增加,随后呈指数下降。出血和容量负荷减少了肾和肠阻力的变化范围。出血强烈增强了肌肉阻力的变化。得出的结论是,除了神经源性控制外,“缺血后反应性充血”明显是三个外周血管床反应的特征。

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