Ledsome J R, Kan W O
Circ Res. 1977 Jan;40(1):64-72. doi: 10.1161/01.res.40.1.64.
We describe a preparation that uses a constant flow, right heart bypass for perfusion of an isolated pouch of the main pulmonary arteries at controlled pressures, and show that increments in pressure in the pulmonary arterial pouch are accompanied by increases in systemic vascular resistance and in hindlimb vascular resistance. These changes are demonstrated over the whole range of 5-120 cm H2O pressure in the pulmonary arterial pouch. In contrast there are no significant changes in renal vascular resistance or heart rate. We find that changing the temperature of the perfusate in the pulmonary arterial pouch from 37 degrees C to 30 degress C is associated with a decrease in systemic vascular resistance. Furthermore, the effects of raising the pulmonary arterial pouch pressure and of cooling are abolished by cervical vagotomy. These findings suggest that there is a tonic reflex vasoconstrictor tone generated by the activity of receptors lying in or close to the walls of the pulmonary artery. These findings also suggest that the differential effects on systemic vascular resistance and renal resistance may provide one mechanism by which changes in blood volume may lead to appropriate changes in renal solute excretion.
我们描述了一种制备方法,该方法使用恒流、右心旁路在可控压力下灌注主肺动脉的一个孤立袋状结构,并表明肺动脉袋内压力升高伴随着全身血管阻力和后肢血管阻力增加。这些变化在肺动脉袋内5 - 120 cm H₂O的整个压力范围内都得到了证实。相比之下,肾血管阻力和心率没有显著变化。我们发现,将肺动脉袋内灌注液的温度从37℃降至30℃会导致全身血管阻力降低。此外,切断颈迷走神经可消除升高肺动脉袋压力和降温的影响。这些发现表明,肺动脉壁内或附近的受体活动产生了一种紧张性反射血管收缩张力。这些发现还表明,对全身血管阻力和肾阻力的不同影响可能提供了一种机制,通过该机制血容量的变化可能导致肾溶质排泄的适当变化。