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循环骤停期间门静脉压与中心静脉压可能达到的平衡。

Possible equilibration of portal venous and central venous pressures during circulatory arrest.

作者信息

Tabrizchi R, Lim S L, Pang C C

机构信息

Department of Pharmacology and Therapeutics, Faculty of Medicine, University of British Columbia, Vancouver, Canada.

出版信息

Am J Physiol. 1993 Jan;264(1 Pt 2):H259-61. doi: 10.1152/ajpheart.1993.264.1.H259.

Abstract

The mean circulatory filling pressure technique has been used to assess total body venous tone. It involves measuring central venous pressure (CVP) at 5-8 s following circulatory arrest. This study examines if CVP and portal venous pressure (PVP) equilibrate when circulation is stopped by inflating a balloon implanted in the right atrium. CVP and PVP were measured in the control condition and after intravenous bolus injections of norepinephrine (NE, 1.6 microgram/kg), angiotensin II (ANG II, 1.3 microgram/kg), and isoproterenol (Iso, 0.5 microgram/kg) in conscious and pentobarbital-anesthetized rats. In conscious rats, CVP was similar to PVP after circulatory arrest under conditions of normal, elevated, or reduced vascular tone. In anesthetized rats, CVP was similar to PVP in the control condition and after intravenous bolus injection of NE and Iso but was less than PVP after the administration of ANG II. Therefore, mean circulatory filling pressure may not fully reflect total body venous tone in anesthetized, surgically stressed rats.

摘要

平均循环充盈压技术已被用于评估全身静脉张力。它包括在循环停止后5 - 8秒测量中心静脉压(CVP)。本研究探讨当通过向植入右心房的气球充气使循环停止时,CVP和门静脉压(PVP)是否达到平衡。在清醒和戊巴比妥麻醉的大鼠中,于对照状态下以及静脉推注去甲肾上腺素(NE,1.6微克/千克)、血管紧张素II(ANG II,1.3微克/千克)和异丙肾上腺素(Iso,0.5微克/千克)后测量CVP和PVP。在清醒大鼠中,在正常、升高或降低血管张力的情况下,循环停止后CVP与PVP相似。在麻醉大鼠中,对照状态下以及静脉推注NE和Iso后CVP与PVP相似,但给予ANG II后CVP低于PVP。因此,平均循环充盈压可能无法完全反映麻醉、手术应激大鼠的全身静脉张力。

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