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[肝硬化肝脏的氧摄取。一项实验研究(作者译)]

[O2-uptake of the cirrhotic liver. An experimental study (author's transl)].

作者信息

Wendling P, Schmidt H D, Piroth H D, Brünner H

出版信息

Z Gastroenterol. 1980 May;18(5):285-90.

PMID:7434854
Abstract

In 15 Beagles with cirrhosis of the liver (TAA induced) and in 22 healthy controls the flow in the hepatic artery (Q a.h.) and in the portal vein (Q v.p.) was measured by kineangiodensitometry. The oxygen content in the hepatic artery, portal and hepatic vein was determined after withdrawal by inserted catheters. Thereafter the O2-uptake (V O2) via portal vein (V pO2) and hepatic artery (V aO2) was calculated. The control animals showed Q a.h. of 175 +/- 25 ml/min and Q v.p. of 511 +/- ml/min. In the cirrhotic animals Q a.h. rose up to 205 +/- 31 ml/min, there was a decrease of Q v.p. to 260 +/- 49 ml/min. V O2 of the liver of the controls was 5,6 +/- 1 ml/100 g/min. V aO2 ws 2,0 +/- 0,4 ml/100 g/min (35%), V pO2 was 3,6 +/- 0,7 ml/100 g/min (65%). In the cirrhotic animals V O2 decreased to 4,7 +/- 0,9 ml/100 g/min, V aO2 rose up to 3,0 +/- 0,6 ml/100 g/min (64%), V pO2 was reduced to 1,7 +/- 0,6 ml/100 g/min (36%). There was a statistically significant difference of all values measured (p less than or equal to 0,01). In cirrhosis of the liver the hepatic artery carries the main oxygen supply.

摘要

对15只患有肝硬化(硫代乙酰胺诱导)的比格犬和22只健康对照犬,采用血管密度测定法测量肝动脉(Q a.h.)和门静脉(Q v.p.)的血流。通过插入导管抽取血样后,测定肝动脉、门静脉和肝静脉中的氧含量。此后,计算经门静脉(V pO2)和肝动脉(V aO2)的氧摄取量(V O2)。对照动物的肝动脉血流量Q a.h.为175±25 ml/分钟,门静脉血流量Q v.p.为511± ml/分钟。在肝硬化动物中,肝动脉血流量Q a.h.升至205±31 ml/分钟,门静脉血流量Q v.p.降至260±49 ml/分钟。对照犬肝脏的V O2为5.6±1 ml/100克/分钟。V aO2为2.0±0.4 ml/100克/分钟(35%),V pO2为3.6±0.7 ml/100克/分钟(65%)。在肝硬化动物中,V O2降至4.7±0.9 ml/100克/分钟,V aO2升至3.0±0.6 ml/100克/分钟(64%),V pO2降至1.7±0.6 ml/100克/分钟(36%)。所有测量值均有统计学显著差异(p≤0.01)。在肝硬化时,肝动脉承担主要的氧供应。

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