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犬肝脏交感神经活动直接和反射性改变期间肝脏血流和血容量的变化

Change in liver blood flow and blood content in dogs during direct and reflex alteration of hepatic sympathetic nerve activity.

作者信息

Carneiro J J, Donald D E

出版信息

Circ Res. 1977 Feb;40(2):150-8. doi: 10.1161/01.res.40.2.150.

Abstract

A mean decrease of 60% in liver blood volume was recorded by a plethysmographic technique during electrical stimulation of the hepatic nerves in anesthetized, vagotomized dogs. A decrease in pressure in the vascularly isolated carotid sinus to 40 mm Hg, from a mean control of 144 mm Hg, decreased liver blood volume by a mean of 16%; arterial blood pressure increased by a mean of 77 mm Hg. Carotid sinus hypotension was accompanied by respective mean increases of 16% and 1.4% in hepatic arterial and portal venous blood flows, and of 45% and 22% in arterial and portal resistances. Increase in sinus pressure to 240 mm Hg increased liver blood volume by a mean of 20%; arterial blood pressure decreased by 90 mm Hg. Sinus hypertension was accompanied by respective mean decreased of 10% and 1.5% in hepatic arterial and portal venous blood flows, and of 44% and 18% in arterial and portal resistances. Interruption of afferent vagal traffic from cardiopulmonary receptors was maximally effective in decreasing liver blood volume at a carotid sinus pressure of 40 mm Hg and was ineffective at carotid sinus pressures greater than 160 mm Hg. Combined withdrawal of carotid and cardiopulmonary vasomotor inhibition decreased liver blood volume by 42%; of this 37% was due to the cardiopulmonary and 63% to the carotid baroreflex. The study showed the canine liver to function as a blood reservoir by active mobilization of a portion of its blood volume.

摘要

在对麻醉且迷走神经切断的犬进行肝神经电刺激期间,通过体积描记技术记录到肝血容量平均减少60%。将血管分离的颈动脉窦压力从平均对照值144毫米汞柱降至40毫米汞柱,肝血容量平均减少16%;动脉血压平均升高77毫米汞柱。颈动脉窦低血压伴随着肝动脉血流和门静脉血流分别平均增加16%和1.4%,动脉阻力和门静脉阻力分别平均增加45%和22%。将窦压力升高至240毫米汞柱,肝血容量平均增加20%;动脉血压降低90毫米汞柱。窦高血压伴随着肝动脉血流和门静脉血流分别平均减少10%和1.5%,动脉阻力和门静脉阻力分别平均减少44%和18%。在颈动脉窦压力为40毫米汞柱时,中断来自心肺感受器的迷走传入通路对减少肝血容量最为有效,而在颈动脉窦压力大于160毫米汞柱时则无效。联合撤除颈动脉和心肺血管运动抑制可使肝血容量减少42%;其中37%归因于心肺,63%归因于颈动脉压力反射。该研究表明犬肝通过主动调动其一部分血容量起到血库的作用。

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