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[血管扩张剂对犬血流动力学的影响——前列腺素E1、尼卡地平和硝酸甘油的比较]

[Haemodynamic effects of vasodilators in dogs--a comparison of prostaglandin E1, nicardipine and nitroglycerin].

作者信息

Terashima M

机构信息

Department of Anesthesiology, Fukushima Medical College.

出版信息

Masui. 1993 Feb;42(2):173-84.

PMID:8437348
Abstract

Effects of vasodilation by prostaglandin E1 (PGE1), nicardipine (NIC) and nitroglycerin (TNG) were investigated separately in adult mongrel dogs. Mean arterial pressure was lowered and maintained at 90% and 70% of the control value. Cardiac output (CO), pulmonary arterial pressure (PAP), pulmonary capillary wedge pressure (PCWP) and right atrial pressure (RAP) were measured by a thermodilution pulmonary artery catheter and blood flow of hepatic artery (HABF), portal vein (PVBF) and mesenteric artery was measured by electromagnetic flowmetry. 1) PGE1: Heart rate (HR) and CO were unchanged and left ventricular stroke work (LVSW) decreased. HABF was unchanged, but PVBF increased significantly. 2) NIC: HR increased and systemic vascular resistance decreased significantly. Therefore, CO increased remarkably, compared with the other two drugs. Though LVSW was unchanged, right ventricular stroke work (RVSW) increased with elevation of PAP. In the hepatic circulation, HABF and PVBF decreased slightly. 3) TNG: LVSW and RVSW decreased significantly. HABF increased slightly and PVBF increased significantly.

摘要

分别在成年杂种犬中研究了前列腺素E1(PGE1)、尼卡地平(NIC)和硝酸甘油(TNG)的血管舒张作用。平均动脉压降低并维持在对照值的90%和70%。通过热稀释肺动脉导管测量心输出量(CO)、肺动脉压(PAP)、肺毛细血管楔压(PCWP)和右心房压(RAP),并通过电磁血流仪测量肝动脉(HABF)、门静脉(PVBF)和肠系膜动脉的血流量。1)PGE1:心率(HR)和CO不变,左心室搏功(LVSW)降低。HABF不变,但PVBF显著增加。2)NIC:HR增加,全身血管阻力显著降低。因此,与其他两种药物相比,CO显著增加。虽然LVSW不变,但右心室搏功(RVSW)随着PAP升高而增加。在肝循环中,HABF和PVBF略有下降。3)TNG:LVSW和RVSW显著降低。HABF略有增加,PVBF显著增加。

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