Zhang J, Liu Y K, Zhang X F, Bo A H
Department of Pathophysiology, Zhangjiakou Medical College.
Sheng Li Xue Bao. 1995 Apr;47(2):179-86.
The present study was undertaken to examine the effect of sympathetic nerve on the changes of lymph microcirculation during hemorrhagic shock. After greater splanchnic nerve transection, changes of contractility of mesenteric micro-lymphatics (ML) in denervated rat were visualized and recorded by using a vital microscope with TV recorder during hemorrhagic shock and followed by refusion of withdrawn blood and infusion of saline. Results obtained showed that ML spontaneous contraction frequency, overall lymphatic contractile activity (Index II) and lymphatic dynamics (L. D-Index) decreased significantly after denervation. The ML spontaneous contractility decreased during hemorrhagic shock both in the denervated group and the intact group. During refusion of withdrawn blood and infusion of normal saline periods, the ML spontaneous contractility in the intact group was significantly higher than that of the pre-shock period, but in the denervated group it remained at a level, lower than that of the intact group (P < 0.01). During the post-infusion period the blood pressure was still much lower in the denervated than that of the intact group. The above results suggest that ML contractility shows decrease in hemorrhagic shock, while infusion of blood and normal saline may increase ML contractility and enhance blood pressure. The sympathetic nerve may play a modulation role to the recovery process of shock.
本研究旨在探讨交感神经对失血性休克期间淋巴微循环变化的影响。在切断内脏大神经后,利用带有电视记录仪的活体显微镜观察并记录去神经大鼠在失血性休克期间以及回输抽出的血液和输注生理盐水时肠系膜微淋巴管(ML)收缩性的变化。结果显示,去神经后ML的自发收缩频率、总的淋巴管收缩活动(指标II)和淋巴动力学(L.D.指标)显著降低。在失血性休克期间,去神经组和完整组的ML自发收缩性均降低。在回输抽出的血液和输注生理盐水期间,完整组的ML自发收缩性显著高于休克前水平,但去神经组则维持在低于完整组的水平(P<0.01)。在输注后期间,去神经组的血压仍远低于完整组。上述结果表明,失血性休克时ML收缩性降低,而输注血液和生理盐水可增加ML收缩性并提高血压。交感神经可能对休克的恢复过程起调节作用。