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双阿司匹林交联血红蛋白与去甲肾上腺素对大鼠全身血流动力学及局部循环的影响

Effect of diaspirin cross-linked hemoglobin and norepinephrine on systemic hemodynamics and regional circulation in rats.

作者信息

Sharma A C, Gulati A

机构信息

Department of Pharmaceutics and Pharmacodynamics, University of Illinois, Chicago Health Sciences Center 60612-7231.

出版信息

J Lab Clin Med. 1994 Feb;123(2):299-308.

PMID:8301207
Abstract

Diaspirin cross-linked hemoglobin (DCLHb) (400 mg/kg, i.v.) produced a pressor effect that was equal to that produced by norepinephrine (NE) (25 micrograms/kg/min i.v. infusion). Total peripheral resistance was increased by DCLHb and more significantly by NE. Heart rate was not affected by DCLHb but was significantly increased by NE. The cardiac output and stroke volume were insignificantly increased by DCLHb but were significantly decreased by NE. DCLHb and NE produced a significant increase in blood flow to the heart. The vascular resistance in the heart was not affected by DCLHb but was decreased by NE. DCLHb did not affect the renal and brain circulation, but NE in kidneys decreased the blood flow and increased the vascular resistance, whereas in the brain it increased the blood flow and decreased the vascular resistance. DCLHb increased the blood flow to the stomach and small intestine. The vascular resistance was not affected by DCLHb in the gastrointestinal tract. NE did not affect the blood circulation in the gastrointestinal tract. Blood flow to the spleen was increased by DCLHb, and there was no change in the vascular resistance. NE insignificantly decreased the blood flow to the spleen and significantly increased the vascular resistance. The blood circulation to the mesentery and pancreas was not affected by DCLHb, whereas NE increased the blood flow without affecting the vascular resistance. DCLHb produced a significant increase in the blood flow to the skin without affecting the vascular resistance, whereas NE did not affect the blood flow but increased the vascular resistance. DCLHb did not affect the blood flow to the musculo-skeletal system but increased the vascular resistance, whereas NE decreased the blood flow and increased the vascular resistance. In summary, although the pressor effect of DCLHb and NE at the doses studied is equal, DCLHb did not decrease the blood flow to any organ, whereas NE produced significant decreases in blood flow to several organs. It is concluded that the blood flow to most of the organs is either increased or not affected by DCLHb.

摘要

双阿司匹林交联血红蛋白(DCLHb)(400毫克/千克,静脉注射)产生的升压作用与去甲肾上腺素(NE)(25微克/千克/分钟静脉输注)产生的升压作用相当。DCLHb使总外周阻力增加,NE使其增加得更显著。心率不受DCLHb影响,但NE使其显著增加。心输出量和每搏输出量由DCLHb引起的增加不显著,但由NE引起的显著减少。DCLHb和NE使心脏血流量显著增加。心脏血管阻力不受DCLHb影响,但NE使其降低。DCLHb不影响肾和脑循环,但NE使肾脏血流量减少并增加血管阻力,而在脑中它增加血流量并降低血管阻力。DCLHb增加胃和小肠的血流量。胃肠道血管阻力不受DCLHb影响。NE不影响胃肠道血液循环。DCLHb使脾脏血流量增加,血管阻力无变化。NE使脾脏血流量略有减少并显著增加血管阻力。肠系膜和胰腺的血液循环不受DCLHb影响,而NE增加血流量且不影响血管阻力。DCLHb使皮肤血流量显著增加且不影响血管阻力,而NE不影响血流量但增加血管阻力。DCLHb不影响肌肉骨骼系统血流量但增加血管阻力,而NE减少血流量并增加血管阻力。总之,尽管在所研究剂量下DCLHb和NE的升压作用相当,但DCLHb不会减少任何器官的血流量,而NE会使几个器官的血流量显著减少。结论是,大多数器官的血流量要么增加,要么不受DCLHb影响。

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