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多巴胺和多巴酚丁胺对犬肝脏氧供需关系的影响。

The effects of dopamine and dobutamine on liver oxygen supply-uptake relationship in the dog.

作者信息

Kinoshita G, Washizu M, Murata N, Kondo M, Matsukura Y, Washizu T, Motoyoshi S

机构信息

Veterinary Medical Teaching Hospital, Tokyo, Japan.

出版信息

J Vet Med Sci. 1995 Apr;57(2):287-91. doi: 10.1292/jvms.57.287.

Abstract

The effects of dopamine and dobutamine in various doses on liver oxygen supply-uptake relationship were studied in 12 mongrel dogs. Dopamine 3 and 7 micrograms/kg/min infusion rates and dobutamine 5 micrograms/kg/min infusion rate did not produce any changes in total liver oxygen delivery. On the contrary, total liver oxygen delivery was increased at the 15 micrograms/kg/min dopamine in fusion rate and dobutamine 10 and 15 micrograms/kg/min infusion rates. The ratio of total liver oxygen delivery to the systemic oxygen delivery was increased at the 15 micrograms/kg/min dopamine infusion rate. Liver oxygen extraction ratio was decreased at the 15 micrograms/kg/min dopamine infusion rate and at the same rate of dobutamine. These decreases were due to the increases in oxygen delivery while both oxygen uptakes were avariant from control levels. The results of this study demonstrated that high dose of dopamine (15 micrograms/kg/min) and medium and high doses of dobutamine (10 and 15 micrograms/kg/min) should be useful to increase the liver oxygen delivery. However, these increases in liver oxygen delivery during dopamine and dobutamine infusion were not associated with an improvement in liver oxygen metabolism, since liver oxygen uptake was not changed.

摘要

在12只杂种犬身上研究了不同剂量多巴胺和多巴酚丁胺对肝脏氧供-摄取关系的影响。多巴胺输注速率为3和7微克/千克/分钟以及多巴酚丁胺输注速率为5微克/千克/分钟时,肝脏总氧输送未产生任何变化。相反,多巴胺输注速率为15微克/千克/分钟以及多巴酚丁胺输注速率为10和15微克/千克/分钟时,肝脏总氧输送增加。多巴胺输注速率为15微克/千克/分钟时,肝脏总氧输送与全身氧输送的比值增加。多巴胺输注速率为15微克/千克/分钟以及多巴酚丁胺以相同速率输注时,肝脏氧摄取率降低。这些降低是由于氧输送增加,而两种情况下的氧摄取量均与对照水平不同。本研究结果表明,高剂量多巴胺(15微克/千克/分钟)以及中、高剂量多巴酚丁胺(10和15微克/千克/分钟)有助于增加肝脏氧输送。然而,多巴胺和多巴酚丁胺输注期间肝脏氧输送的这些增加与肝脏氧代谢的改善无关,因为肝脏氧摄取量未发生变化。

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