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乙醇对体内肝脏血液灌注及氧供应的影响。

Effect of ethanol on hemoperfusion and O2 sufficiency in livers in vivo.

作者信息

Sato N, Kamada T, Schichiri M, Matsumura T, Abe H, Hagihara B

出版信息

Adv Exp Med Biol. 1980;132:355-62. doi: 10.1007/978-1-4757-1419-7_35.

Abstract

Hemoperfusion and rate of O2 uptake in the livers in vivo following ethanol ingestion were measured by reflectance spectrophotometry. Pressurization on the liver in situ above the sinusoidal blood pressure caused complete blocking of blood flow, followed by spectral changes due to transition from hepatic normoxia to anoxia. Analyses of such spectra provided informations as to the rate of O2 consumption in situ and the redox level of cytochrome c (+cl)) in the mitochondrial respiratory chain. The rate of O2 consumption thus calculated remained constant until the apparent O2-saturation of hemoglobin in situ decreased to less than 10% of the total of hemoglobin. In parallel with the decrease of the rate of O2 consumption, the apparent reduction level of cytochrome c (+Cl) increased. It was shown in fed rats that the ethanol ingestion (1 g/kg) stimulated O2 uptake in the liver by 29% which initially caused a decrease in O2-saturation of hemoglobin, followed by an increase in blood supply to the liver. Thus, the ethanol consumption resulted in an increase in hepatic oxidative metabolism, possibly leading to hepatic hypoxia and liver damage.

摘要

通过反射分光光度法测量乙醇摄入后体内肝脏的血液灌流和氧气摄取率。在原位肝脏上施加高于窦性血压的压力会导致血流完全阻断,随后由于从肝脏常氧状态转变为缺氧状态而出现光谱变化。对这些光谱的分析提供了关于原位氧气消耗率和线粒体呼吸链中细胞色素c(+cl)氧化还原水平的信息。如此计算出的氧气消耗率在原位血红蛋白的表观氧饱和度降至血红蛋白总量的10%以下之前保持恒定。随着氧气消耗率的降低,细胞色素c(+Cl)的表观还原水平升高。在喂食的大鼠中显示,摄入乙醇(1 g/kg)会使肝脏中的氧气摄取增加29%,这最初会导致血红蛋白的氧饱和度降低,随后肝脏血液供应增加。因此,乙醇消耗导致肝脏氧化代谢增加,可能导致肝脏缺氧和肝损伤。

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