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急性贫血或红细胞增多症大鼠的局部血流及心输出量分布

Regional blood flows and cardiac output distribution in rats during acute anemia or polycythemia.

作者信息

Ackermann U, Veress A T

出版信息

Can J Physiol Pharmacol. 1980 Apr;58(4):411-5. doi: 10.1139/y80-069.

Abstract

Radioactively labelled microspheres (15 micron diameter) were used to measure cardiac output (CO) distribution and blood flows in spleen, kidneys, and skeletal muscle before and after normovolemic anemia or polycythemia in anesthetized rats. Hematocrits were changed from 45 to 33% or from 45 to 59% by an exchange transfusion of homologous plasma or packed cells. Anemia was accompanied by a 39% increase in CO while polycythemia showed a 25% decrease. Following hemodilution the spleen as well as skeletal muscle received greater than normal fractions of CO and in each the flow increase was greater than expected from the fall in viscosity. The renal fraction of CO was unchanged. Following hemoconcentration "greater-than-normal" fractions of CO were distributed towards spleen and kidney. In these tissues the changes in flow were significantly greater than the change in resistance due to viscosity. Skeletal muscle flow changes appeared to have been due mostly to increased viscosity. These observations imply that during acute, isovolemic changes in hematocrit, the flow changes of individual vascular beds cannot be explained by viscosity changes alone but the importance of nervous control or of local metabolic factors remains to be investigated.

摘要

使用放射性标记的微球(直径15微米)来测量麻醉大鼠在正常血容量性贫血或红细胞增多症前后的心输出量(CO)分布以及脾脏、肾脏和骨骼肌的血流量。通过输注同源血浆或浓缩红细胞进行换血,使血细胞比容从45%变为33%或从45%变为59%。贫血伴随着心输出量增加39%,而红细胞增多症则显示心输出量下降25%。血液稀释后,脾脏以及骨骼肌接受的心输出量比例高于正常,并且在每一个组织中,血流量的增加都大于因粘度下降所预期的值。肾脏的心输出量比例未发生变化。血液浓缩后,“高于正常”的心输出量比例分布到脾脏和肾脏。在这些组织中,血流量的变化显著大于因粘度导致的阻力变化。骨骼肌血流量的变化似乎主要是由于粘度增加。这些观察结果表明,在血细胞比容急性等容变化期间,各个血管床的血流量变化不能仅用粘度变化来解释,神经控制或局部代谢因素的重要性仍有待研究。

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