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[血管活性物质与肺循环]

[Vaso-active substances and pulmonary circulation].

作者信息

Campan L

出版信息

Ann Anesthesiol Fr. 1975;16 Spec No 2-3:33-40.

PMID:9869
Abstract

This study reveals the main vaso-active substances which pass through the lung, by studying in each case the extra-pulmonary of pulmonary origin, the effects of the lung on these substances: capture, discharge, transformation, and the effects of these substances on the lung. Eight groups of substances are studied: mediators of the sympatho-adrenergic system, substances interfering with adrenergic agents, acetyl-choline, serotonin, angiotensin, histamine, kinins, and prostaglandins. The lung behaves either as a neutral organ, or a filtering organ, or a filtering organ, or a secreting organ for these substances. In this way it strangely resembles the kidney. The pulmonary circulation is not completely comprised of simple reaction. It is capable of internal adjustement and redistribution under the effect of these substances. Pulmonary edema probably will always remain difficult to their mechanism of production, in so far as can be estimated from the multitude of substances. It is still rather a delicate matter to distinguish between edema-generating phenomena and phenomena which are secondary to the edema itself.

摘要

本研究通过逐一研究肺外源性或肺源性物质、肺对这些物质的作用(捕获、释放、转化)以及这些物质对肺的作用,揭示了通过肺的主要血管活性物质。研究了八类物质:交感 - 肾上腺素能系统介质、干扰肾上腺素能药物的物质、乙酰胆碱、5-羟色胺、血管紧张素、组胺、激肽和前列腺素。肺对这些物质而言,既表现为一个中性器官,又表现为一个过滤器官或分泌器官。这样一来,它与肾脏有着惊人的相似之处。肺循环并非完全由简单的反应构成。在这些物质的作用下,它能够进行内部调节和重新分配。就从众多物质所能估计的情况来看,肺水肿的产生机制可能始终难以明确。区分引发水肿的现象和继发于水肿本身的现象,仍然是一件相当棘手的事情。

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