Kinoshita G, Washizu M, Kondo M, Matsukura Y, Washizu T, Motoyoshi S
Veterinary Medical Teaching Hospital, Tokyo, Japan.
J Vet Med Sci. 1995 Apr;57(2):193-7. doi: 10.1292/jvms.57.193.
The effects of indomethacin on liver blood flow and oxygen supply-uptake relationship were investigated using a right heart bypass technique. Portal venous blood flow was decreased by the mesenteric vascular effects of indomethacin, which produce intense mesenteric vasoconstriction. Hepatic arterial blood flow was increased and therefore, total liver blood flow was not significantly changed after indomethacin administration. Portal venous oxygen delivery was significantly decreased by reductions in both portal venous blood flow and portal venous oxygen content. Total liver oxygen delivery, however, was not changed after indomethacin administration. This response was caused by a large increase in hepatic arterial oxygen delivery. Liver oxygen uptake and liver oxygen extraction ratio were not changed after indomethacin administration. We conclude, therefore, that total liver blood flow and oxygen delivery were well maintained, even if the mesenteric vascular effects of indomethacin decreased both portal venous blood flow and portal venous oxygen delivery.
采用右心旁路技术研究了吲哚美辛对肝脏血流及氧供-摄取关系的影响。吲哚美辛的肠系膜血管效应导致肠系膜强烈血管收缩,使门静脉血流减少。肝动脉血流增加,因此,给予吲哚美辛后肝脏总血流量无显著变化。门静脉血流和门静脉血氧含量的降低均导致门静脉氧输送显著减少。然而,给予吲哚美辛后肝脏总氧输送未发生变化。这种反应是由肝动脉氧输送的大幅增加引起的。给予吲哚美辛后肝脏氧摄取和肝脏氧摄取率未发生变化。因此,我们得出结论,即使吲哚美辛的肠系膜血管效应使门静脉血流和门静脉氧输送均减少,肝脏总血流量和氧输送仍能得到良好维持。