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内脏动脉闭塞性休克中的花生四烯酸

Arachidonic acid in splanchnic artery occlusion shock.

作者信息

Bridenbaugh G A, Flynn J T, Lefer A M

出版信息

Am J Physiol. 1976 Jul;231(1):112-9. doi: 10.1152/ajplegacy.1976.231.1.112.

Abstract

Arachindonic acid infused into the mesenteric vascular bed of normal pentobarbital-anesthetized dogs at a concentrations of 150 mug/kg per min produced no significant changes in mean arterial blood pressure (MABP), portal vein pressure (PVP), screen filtration pressure (SFP), platelet count, circulating lysosomal enzyme or myocardial depressant factor (MCF) activities, nad only modestly increased superior mesenteric arter flow (SMAF)ans endogenous prostaglandin concentrations concentrations. It is concluded that arachidonic acid, at the infusion rate employed, dose not have any major effect on the circulatory status or on the lysosomal or platelet stability in normal dogs. In contrast, arachidonic acid administered to dogs in splanchnic artery occulusion (SAO) shock significantly exacerbated the decline in MABP seen after release of the occlusive clamps and also significantly reduced mesenteric blood flow. The hypothnsive of arachidonic acid appears to be partly due to the fatty acid itself and partly due to the metavolically formed prostaglandin endoct the platelet count or aggregability, lysosomal hydrolase activity, or MDF formation in the SAO shock dogs. These data suggest that increased endogenous prostaglandin concentrations in themselves are not a prime factor in the pathophysiology of circulatory shock, but that endogenous prostaglandin or related substances can significantly modulate the shock state.

摘要

以每分钟150微克/千克的浓度将花生四烯酸注入正常的戊巴比妥麻醉犬的肠系膜血管床,平均动脉血压(MABP)、门静脉压力(PVP)、滤过压(SFP)、血小板计数、循环溶酶体酶或心肌抑制因子(MCF)活性均无显著变化,仅肠系膜上动脉血流量(SMAF)和内源性前列腺素浓度略有增加。结论是,在所采用的输注速率下,花生四烯酸对正常犬的循环状态、溶酶体或血小板稳定性没有任何重大影响。相比之下,在犬内脏动脉闭塞(SAO)性休克中给予花生四烯酸,显著加剧了闭塞钳松开后出现的MABP下降,也显著减少了肠系膜血流量。花生四烯酸的降压作用似乎部分归因于脂肪酸本身,部分归因于代谢形成的前列腺素。花生四烯酸对SAO休克犬的血小板计数或聚集性、溶酶体水解酶活性或MDF形成没有影响。这些数据表明,内源性前列腺素浓度升高本身不是循环性休克病理生理学的主要因素,但内源性前列腺素或相关物质可显著调节休克状态。

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