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颈动脉去神经支配对妊娠晚期绵羊胎儿急性缺氧期间血浆血管加压素水平的影响。

Effect of carotid denervation on plasma vasopressin levels during acute hypoxia in the late-gestation sheep fetus.

作者信息

Giussani D A, McGarrigle H H, Spencer J A, Moore P J, Bennet L, Hanson M A

机构信息

Department of Obstetrics and Gynaecology, University College Medical School, London.

出版信息

J Physiol. 1994 May 15;477(Pt 1):81-7. doi: 10.1113/jphysiol.1994.sp020173.

Abstract
  1. We measured plasma concentrations of arginine vasopressin (AVP), arterial, venous and amniotic pressures, and carotid and femoral blood flows in fifteen chronically instrumented fetal sheep at 119-125 days of gestation. In eight of the fetuses the carotid sinus nerves were cut (denervated fetuses); the other seven remained intact and served as controls (intact fetuses). 2. In the intact fetuses during hypoxia there was an increase in plasma [AVP] and in perfusion (arterial-venous) pressure, a transient bradycardia, and an increase in carotid and a decrease in femoral blood flow. Whilst femoral vascular resistance (perfusion pressure/femoral blood flow) increased, there were no changes in carotid vascular resistance during hypoxia. 3. In the denervated fetuses no significant bradycardia, fall in femoral blood flow or increase in femoral vascular resistance was present soon after the onset of hypoxia but plasma AVP increased to similar concentrations to those observed in intact fetuses during hypoxia. 4. We conclude that carotid denervation does not affect plasma [AVP] during hypoxia in fetal sheep. This suggests that (1) AVP release during hypoxia is not mediated by a carotid chemoreflex and (2) AVP does not play an important role in these initial fetal cardiovascular responses. Furthermore, we previously reported that intact fetuses survive acute hypoxia better than denervated fetuses following phentolamine treatment, and we believe this to be due to the action of a non-alpha-adrenergic vasoconstrictor released in part via a carotid chemoreflex. The present results suggest that this vasoconstrictor is not AVP.
摘要
  1. 我们在妊娠119 - 125天的15只长期植入仪器的胎羊身上,测量了精氨酸加压素(AVP)的血浆浓度、动脉压、静脉压和羊膜腔压力,以及颈动脉和股动脉血流量。在其中8只胎羊中,切断了颈动脉窦神经(去神经支配胎羊);另外7只保持完整作为对照(完整胎羊)。2. 在完整胎羊缺氧期间,血浆[AVP]升高,灌注(动脉 - 静脉)压升高,出现短暂心动过缓,颈动脉血流量增加,股动脉血流量减少。虽然股血管阻力(灌注压/股动脉血流量)增加,但缺氧期间颈动脉血管阻力没有变化。3. 在去神经支配胎羊中,缺氧开始后不久没有明显的心动过缓、股动脉血流量下降或股血管阻力增加,但血浆AVP升高至与完整胎羊缺氧期间观察到的浓度相似。4. 我们得出结论,在胎羊缺氧期间,颈动脉去神经支配不影响血浆[AVP]。这表明:(1)缺氧期间AVP的释放不是由颈动脉化学反射介导的;(2)AVP在这些初始胎儿心血管反应中不起重要作用。此外,我们之前报道过,在酚妥拉明治疗后,完整胎羊比去神经支配胎羊对急性缺氧的耐受性更好,我们认为这是由于部分通过颈动脉化学反射释放的一种非α -肾上腺素能血管收缩剂的作用。目前的结果表明这种血管收缩剂不是AVP。

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