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消炎痛对犬失血性低血压时肾血流分布的影响。

The effect of indomethacin on renal blood flow distribution during hemorrhagic hypotension in dog.

作者信息

Tyssebotn I, Kirkebo A

出版信息

Acta Physiol Scand. 1977 Sep;101(1):15-21. doi: 10.1111/j.1748-1716.1977.tb05978.x.

Abstract

The effect of indomethacin in hemorrhagic hypotension (HH) on total renal blood flow (RBF) and cortical flow distribution was studied in 9 pentobarbital anesthesized dogs. Local blood flow was measured as hydrogen clearance by 6 platinum electrodes in outer and inner cortex. RBF was recorded by electromagnetic flowmeter. Injection of indomethacin (3-5 mg/kg b.wt.) to inhibit prostaglandin synthesis, reduced renal blood flow only a few percent in control period. After the pretreatment with indomethacin, bleeding to mean arterial pressure 50 mmHg decreased RBF abruptly to 25% of control flow. Thus a renal vasoconstriction is observed both in early and late periods of bleeding in contrast to the initial vasodilation observed during the first half an hour of HH when prostaglandin formation was not blocked. Local blood flow in outer cortex decreased proportionally to flow in inner cortex during bleeding in both the indomethacin treated as in the untreated group, indicating an equal vasodilatory effect of prostaglandin in all parts of renal cortex during early periods of HH.

摘要

在9只戊巴比妥麻醉的犬中,研究了消炎痛对出血性低血压(HH)时肾总血流量(RBF)和皮质血流分布的影响。通过6个铂电极在外皮质和内皮质中以氢清除率测量局部血流量。用电磁流量计记录RBF。注射消炎痛(3-5mg/kg体重)以抑制前列腺素合成,在对照期仅使肾血流量降低百分之几。在用消炎痛预处理后,出血至平均动脉压50mmHg时,RBF突然降至对照流量的25%。因此,与在HH的前半小时未阻断前列腺素形成时观察到的初始血管舒张相反,在出血的早期和晚期均观察到肾血管收缩。在消炎痛治疗组和未治疗组中,出血期间外皮质的局部血流量与内皮质的血流量成比例下降,表明在HH早期前列腺素在肾皮质所有部位具有同等的血管舒张作用。

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