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犬和小型猪的肺血管阻力——缺氧和吸入一氧化氮的影响

Pulmonary vascular resistance in dogs and minipigs--effects of hypoxia and inhaled nitric oxide.

作者信息

Maggiorini M, Mélot C, Gilbert E, Vermeulen F, Naeije R

机构信息

Department of Medicine, University Hospital, Zürich, Switzerland.

出版信息

Respir Physiol. 1998 Feb;111(2):213-22. doi: 10.1016/s0034-5687(97)00120-5.

Abstract

The pig has been reported to present with a stronger hypoxic pulmonary vasoconstriction than many other species, including the dog, but it is not known whether this is associated with a different longitudinal partitioning of pulmonary vascular resistance (PVR). We investigated the relationships between cardiac output (Q) and mean pulmonary artery pressure (Ppa) minus occluded Ppa (Ppao), and effective pulmonary capillary pressure (Pc') minus Ppao, in seven minipigs and in seven dogs in hyperoxia (FI(O2) 0.4) and hypoxia (FI(O2) 0.1), first without, then with the inhalation of 80 ppm nitric oxide (NO) to inhibit any reversible component of PVR. Pc' was estimated from the Ppa decay curve following pulmonary artery balloon occlusion. In hyperoxia, minipigs compared to dogs had (Ppa - Ppao)/Q and (Pc' - Ppao)/Q plots shifted to higher pressures. Hypoxia at each level of Q increased Ppa - Ppao in minipigs more than in dogs, and Pc' - Ppao in minipigs only. Inhaled NO reversed hypoxia-induced changes in (Ppa - Ppao)/(Q and (Pc' - Ppao)/Q plots. We conclude that the minipig, compared to the dog, presents with higher PVR and reactivity including vessels downstream to the site of Pc' as determined by the arterial occlusion technique.

摘要

据报道,猪比包括狗在内的许多其他物种表现出更强的缺氧性肺血管收缩,但尚不清楚这是否与肺血管阻力(PVR)的不同纵向分配有关。我们研究了七只小型猪和七只狗在高氧(吸入氧分数(FI(O2))0.4)和缺氧(FI(O2)0.1)条件下,心输出量(Q)与平均肺动脉压(Ppa)减去闭塞肺动脉压(Ppao),以及有效肺毛细血管压(Pc')减去Ppao之间的关系,首先在未吸入一氧化氮(NO)时,然后在吸入80 ppm NO以抑制PVR的任何可逆成分时进行研究。Pc'是根据肺动脉球囊闭塞后Ppa的衰减曲线估算的。在高氧条件下,与狗相比,小型猪的(Ppa - Ppao)/Q和(Pc' - Ppao)/Q曲线向更高压力偏移。在每个Q水平下,缺氧使小型猪的Ppa - Ppao升高幅度大于狗,并且仅使小型猪的Pc' - Ppao升高。吸入NO可逆转缺氧引起的(Ppa - Ppao)/Q和(Pc' - Ppao)/Q曲线变化。我们得出结论,与狗相比,小型猪表现出更高的PVR和反应性,包括由动脉闭塞技术确定的Pc'部位下游的血管。

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