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清醒犬容量负荷期间调节心血管变化的途径。

Pathways regulating cardiovascular changes during volume loading in awake dogs.

作者信息

Bishop V S, Peterson D F

出版信息

Am J Physiol. 1976 Sep;231(3):854-9. doi: 10.1152/ajplegacy.1976.231.3.854.

Abstract

The role played by the cardiac sympathetic nerves and arterial baroreceptors in the cardiovascular responses to acute volume loading was studied in conscious dogs. In 15 normally innervated animals, mean arterial pressure rose 10 mmHg, heart rate increased 38 beats/min and cardiac output 1,696 ml/min, while peripheral resistance decreased 0.99 PRU. Neither bilateral baroreceptor denervation, dorsal root sections (T1-T5) or surgical interruption of the left ansa subclavia altered the above responses to acute volume loading. Bilateral section of the ansa subclavia (total cardiac sympathectomy) significantly reduced the heart rate response from 35 +/- 5 to 20 +/- 5 beats/min but did not alter other changes. A similar reduction in heart rate response was observed following selective section of the right ansa subclavia. Intravenous infusions of epinephrine augmented the heart rate response in both normally innervated and cardiac sympathectomized dogs. It is suggested that although the primary efferent pathway for the reflex trachycardia is via the vagus, responses are modulated by sympathetic neural activity. Additionally, the nervous system was not shown to play a measureable role in the observed peripheral resistance changes.

摘要

在清醒犬中研究了心脏交感神经和动脉压力感受器在急性容量负荷心血管反应中的作用。在15只正常支配的动物中,平均动脉压升高10 mmHg,心率增加38次/分钟,心输出量增加1696 ml/分钟,而外周阻力降低0.99 PRU。双侧压力感受器去神经支配、背根切断(T1-T5)或左锁骨下袢的手术切断均未改变上述对急性容量负荷的反应。双侧切断锁骨下袢(完全心脏交感神经切除术)显著降低心率反应,从35±5次/分钟降至20±5次/分钟,但未改变其他变化。选择性切断右侧锁骨下袢后观察到类似的心率反应降低。静脉注射肾上腺素增强了正常支配和心脏交感神经切除犬的心率反应。提示虽然反射性心动过速的主要传出途径是通过迷走神经,但反应受交感神经活动调节。此外,未显示神经系统在观察到的外周阻力变化中起可测量的作用。

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