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[维拉帕米和硝苯地平对急性大量失血大鼠全身血流动力学及肝脏大、微循环的影响]

[The effect of verapamil and nifedipine on the systemic hemodynamics and liver macro- and microcirculations in rats with acute massive blood loss].

作者信息

Kovalenko N Ia, Matsievskiĭ D D

出版信息

Biull Eksp Biol Med. 1993 Nov;116(11):469-72.

PMID:8312530
Abstract

Systemic hemodynamics and hepatic macro- and microcirculation (ultrasonic technique, biomicroscopy) were studied in intact rats and rats with acute massive hemorrhage after intravenous administration of the calcium antagonists verapamil and nifedipine. It was shown that verapamil deteriorated the posthemorrhagic period in rats with decompensated hemorrhage which was associated with the specific features of the calcium antagonist on the cardiovascular system of intact rats (decrease of blood pressure, total peripheral resistance, heart power). In rats with compensated hemorrhage verapamil and nifedipine blocked the development of posthemorrhagic liver microcirculatory disturbances, improved hepatic tissue perfusion and stabilized portal organ blood flow velocity on the longer period than in the untreated group of rats.

摘要

在完整大鼠以及急性大量出血大鼠静脉注射钙拮抗剂维拉帕米和硝苯地平后,研究了全身血流动力学以及肝脏的宏观和微观循环(超声技术、生物显微镜检查)。结果表明,维拉帕米使失代偿性出血大鼠的出血后时期恶化,这与钙拮抗剂对完整大鼠心血管系统的特定作用(血压降低、总外周阻力降低、心脏功能降低)有关。在代偿性出血大鼠中,维拉帕米和硝苯地平比未治疗的大鼠组在更长时间内阻断了出血后肝脏微循环障碍的发展,改善了肝组织灌注并稳定了门静脉器官血流速度。

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