Noble B J, Drinkhill M J, Myers D S, Hainsworth R
Institute for Cardiovascular Research, University of Leeds, UK.
Exp Physiol. 1998 Jul;83(4):513-22. doi: 10.1113/expphysiol.1998.sp004134.
The abdominal circulation contains a high proportion of the total blood volume and this can change either passively in response to changes in vascular distending pressure or actively (termed a capacitance response) to changes in sympathetic nervous activity. The liver is the largest abdominal organ and this study was designed to evaluate its potential contribution to overall vascular capacitance and compliance. In chloralose anaesthetized dogs, the liver was vascularly isolated, perfused through the portal vein and hepatic artery at either constant pressures or constant flows and drained from the hepatic veins at constant pressure. Changes in vascular resistance were assessed from changes in inflow pressures or flows and hepatic blood volume was determined by differences between net inflow and outflow. During constant flow perfusion the change in hepatic volume (capacitance change) in response to supramaximal stimulation of sympathetic nerves at 16 Hz was (mean +/- S.E.M.) -2.40 +/- 0.61 ml (kg body weight)-1. This response was not significantly different during constant pressure perfusion. The changes in portal venous and hepatic arterial pressures during stimulation at constant flow perfusion were +0.67 +/- 0.13 and +4.92 +/- 0.67 kPa, respectively. The compliance of the liver, assessed as the change in volume to a change in hepatic venous pressure, was +5.44 +/- 0.18 ml kg-1 kPa-1. These results indicate that the liver has a major capacitance role, comparable to that of the canine spleen and, in addition, is highly compliant. No evidence was found to suggest that a sphincter on the hepatic outflow exists. Assuming similar responses occur in humans, who do not possess a large contractile spleen, the liver would be the most important controllable blood reservoir in the body.
腹部循环系统容纳了全身总血容量的很大一部分,这部分血量可随着血管扩张压力的变化而被动改变,也可因交感神经活动的变化而主动改变(称为容量反应)。肝脏是最大的腹部器官,本研究旨在评估其对整体血管容量和顺应性的潜在贡献。在氯醛糖麻醉的犬类中,将肝脏进行血管分离,通过门静脉和肝动脉以恒定压力或恒定流量进行灌注,并通过肝静脉以恒定压力引流。根据流入压力或流量的变化评估血管阻力的变化,并通过净流入量与流出量之间的差值确定肝血容量。在以16 Hz频率对交感神经进行超强刺激期间,恒流灌注时肝脏体积的变化(容量变化)为(平均值±标准误)-2.40±0.61 ml(千克体重)-1。在恒压灌注期间,该反应无显著差异。恒流灌注刺激期间门静脉和肝动脉压力的变化分别为+0.67±0.13和+4.92±0.67 kPa。以肝静脉压力变化时的体积变化来评估,肝脏的顺应性为+5.44±0.18 ml kg-1 kPa-1。这些结果表明,肝脏具有主要的容量作用,与犬脾脏相当,此外,其顺应性很高。未发现有证据表明肝流出道存在括约肌。假设在没有大的可收缩脾脏的人类中也会出现类似反应,那么肝脏将是体内最重要的可控血库。