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麻醉状态下钾适应大鼠对急性出血的心血管和儿茶酚胺反应

Cardiovascular and catecholamine responses to acute haemorrhage in anaesthetized potassium-adapted rats.

作者信息

Obika L F

机构信息

Department of Physiology, Ogun State University, Ago-Iwoye, Nigeria.

出版信息

Res Exp Med (Berl). 1993;193(3):175-85. doi: 10.1007/BF02576225.

Abstract

The experiments were designed to determine whether potassium-loaded rats have a deficient recovery of blood pressure after a rapid arterial haemorrhage. Potassium loading was achieved by providing a 0.75% KCl solution as drinking fluid for 14 days, while control rats had either distilled water or tapwater. MAP, HR, Hct, and plasma electrolytes were determined before and after 1 and 2% body weight haemorrhage in anaesthetized Sprague-Dawley rats. Potassium-loaded rats had significantly reduced blood pressure recovery within 20 min after haemorrhage. HR was significantly reduced within 5 min only after 2% haemorrhage in potassium-adapted rats. Haemorrhage induced significant hyperkalaemia which was greater and significantly prolonged after 2% haemorrhage. The significant fall in Hct after haemorrhage was not affected by the magnitude of haemorrhage. In an additional group of rats, the pressor response to intravenous infusion of vasopressin was unaffected by potassium loading, whereas that to noradrenaline and angiotensin II was significantly reduced throughout the 20 min of infusion. The peak increase in blood pressure after phenylephrine injection was, however, unaffected by potassium loading. Basal plasma catecholamines concentration as well as concentrations after 1% haemorrhage were unaffected by potassium loading. It is concluded that the reduced vascular response to noradrenaline and angiotensin contributed to the reduced recovery of blood pressure after haemorrhage in potassium-loaded rats. Furthermore, the result with phenylephrine suggest a mechanism that is unrelated to direct vascular effects of noradrenaline and angiotensin II.

摘要

这些实验旨在确定钾负荷大鼠在快速动脉出血后血压恢复是否不足。通过提供0.75%的氯化钾溶液作为饮用水14天来实现钾负荷,而对照大鼠饮用蒸馏水或自来水。在麻醉的Sprague-Dawley大鼠体重减轻1%和2%前后,测定平均动脉压(MAP)、心率(HR)、血细胞比容(Hct)和血浆电解质。钾负荷大鼠在出血后20分钟内血压恢复显著降低。仅在适应钾的大鼠出血2%后5分钟内,心率显著降低。出血诱导显著的高钾血症,在出血2%后更为严重且显著延长。出血后血细胞比容的显著下降不受出血量的影响。在另一组大鼠中,静脉输注血管加压素的升压反应不受钾负荷的影响,而在整个输注20分钟内,去甲肾上腺素和血管紧张素II的升压反应显著降低。然而,苯肾上腺素注射后血压的峰值升高不受钾负荷的影响。基础血浆儿茶酚胺浓度以及出血1%后的浓度不受钾负荷的影响。得出的结论是,血管对去甲肾上腺素和血管紧张素的反应降低导致钾负荷大鼠出血后血压恢复降低。此外,苯肾上腺素的结果提示了一种与去甲肾上腺素和血管紧张素II的直接血管效应无关的机制。

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