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盐酸多巴胺与盐酸多培沙明对麻醉犬腹部和股部血流动力学影响的比较。

Comparison of effects of dopamine hydrochloride and dopexamine hydrochloride on abdominal and femoral hemodynamics in anesthetized dogs.

作者信息

van Kesteren R G, Heethaar R M, Charbon G A, Heethaar J, Brouwer F A

机构信息

Department of Reanimation and Clinical Toxicology, University Hospital Utrecht, The Netherlands.

出版信息

Circ Shock. 1993 Jul;40(3):227-33.

PMID:8348685
Abstract

The effects of dopamine and dopexamine administered in graded intravenous bolus injections (0.1-51.2 micrograms.kg-1) were compared in the renal and femoral, and in a number of splanchnic vessels at the organ level simultaneously in anesthetized dogs. Hemodynamic data are presented for each artery as conductance, which was obtained by dividing mean flow by mean arterial pressure. The data were analyzed in two different ways: 1) by responses at intervals of 3 sec to 12.8 micrograms dopamine or dopexamine during 1 min, and 2) by dose-response curves. Additionally, urine volume was measured during dopamine and dopexamine administration. During a period of 1 min after an injection of dopamine, early and late effects could be distinguished, while heart rate was unaltered. In the superior mesenteric, inferior mesenteric, splenic, common hepatic, renal, and femoral arteries, an early (at 18-21 sec) reduction in conductance was seen. The early reduction was often followed by an increase above the preinjection level. After dopexamine, the early reduction in conductance was not seen, except in the left gastric artery. In contrast to the effect of dopamine, dopexamine induced a more pronounced increase during the late phase. Contrary to dopamine, dopexamine increased the conductance in the common hepatic artery bed. It remains questionable whether dopaminergic receptors are present in this vascular bed. Dopamine raised blood pressure and urine production dose-dependently. Dopexamine decreased aortic pressure. Low dosages of dopexamine increased urine production, without raising renal blood flow. An advantage of dopexamine over dopamine could be that dopexamine does not stimulate alpha-adrenergic receptors.

摘要

在麻醉犬中,比较了静脉内分次推注(0.1 - 51.2微克·千克⁻¹)多巴胺和多培沙明对肾脏、股部以及多个内脏血管在器官水平的影响。以传导率形式呈现各动脉的血流动力学数据,传导率通过平均流量除以平均动脉压获得。数据采用两种不同方式进行分析:1)在1分钟内以3秒的间隔对12.8微克多巴胺或多培沙明的反应;2)通过剂量 - 反应曲线。此外,在给予多巴胺和多培沙明期间测量尿量。注射多巴胺后的1分钟内,可区分早期和晚期效应,而心率未改变。在肠系膜上动脉、肠系膜下动脉、脾动脉、肝总动脉、肾动脉和股动脉中,可见传导率早期(18 - 21秒)降低。早期降低之后通常会升高至注射前水平之上。给予多培沙明后,除胃左动脉外,未见传导率早期降低。与多巴胺的作用相反,多培沙明在后期诱导更明显的升高。与多巴胺相反,多培沙明增加了肝总动脉床的传导率。该血管床中是否存在多巴胺能受体仍存在疑问。多巴胺剂量依赖性地升高血压和增加尿量。多培沙明降低主动脉压。低剂量多培沙明增加尿量,而不增加肾血流量。多培沙明相对于多巴胺的一个优势可能是多培沙明不刺激α - 肾上腺素能受体。

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