Hepato-cardiovascular response and its regulation

来源 :世界胃肠病学杂志(英文版) | 被引量 : 0次 | 上传用户:tdsl
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
AIM: To determine the possible existence of a hepatocardiovascular response and its regulatory mechanism in normal rats.METHODS: Systemic hemodynamic changes following intraportal injection of latex microspheres were studied in two modified rat models of hepatic circulation, in which the extrahepatic splanchnic circulation was excluded by evisceration and the liver was perfused by systemic blood via either the portal vein (model 1) or hepatic artery(model 2)in vivo.RFSULTS: In model 1, intraportal injection of two sized microspheres (15-μm and 8O-μm) induced a similar decrease in mean arterial pressure, while extrahepatic portal venous occlusion induced an immediate increase in mean arterial pressure. In model 2, microsphere injection again induced a significant reduction in mean arterial pressure, aortic blood flow and aortic resistance. There were no significant differences in these parameters between liver-innervated rats and liver-denervated rats.The degrees of microsphere-induced reduction in mean arterial pressure (-38.1±1.9% in liver-innervated rats and -35.4±2.1% in liver-denervated rats, respectively)were similar to those obtained by withdrawal of 2.0 mL of blood via the jugular vein (-33.3±2.1%) (P>0.05).Injection of 2.0 mL Haemaccel in microsphere-treated rats, to compensate for the reduced effective circulating blood volume, led to a hyperdynamic state which, as compared with basal values and unlike control rats, was characterised by increased aortic blood flow (+21.6±3.3%),decreased aortic resistance (-38.1±3.5%) and reduced mean arterial pressure (-9.7±2.8%).CONCLUSION: A hepato-cardiovascular response exists in normal rats. It acts through a humoral mechanism leading to systemic vasodilatation, and may be involved in the hemodynamic disturbances associated with acute and chronic liver diseases.
其他文献
期刊
眼内出血,包括前房积血、玻璃体积血和视网膜出血,在临床上比较常见.致病原因也多种多样,主要有炎症性、外伤性、手术性,也可由血管异常及全身病引起.本文探讨外伤性眼内出血,主要是眼挫伤所致.本病对视功能的危害严重,致肓率高。
期刊
目的:探讨经尿道前列腺双极等离子电切术治疗良性前列腺增生的临床疗效.方法:选取我院收治的82例良性前列腺增生患者为研究对象,随机分为对照组与观察组,各为41例,对照组给予
目的 研究对妊娠期糖尿病患者施以健康教育、心理护理干预的效果.方法 将在我院接受治疗的62例妊娠期糖尿病患者,随机分成对照组31例、研究组31例,其中采用常规护理干预的为
目的 探讨非酮症高血糖性癫(痫)发作的临床特点及预后.方法 收集2012年1月至2016年1月确诊的9例非酮症高血糖性癫(痫)发作患者的临床资料,回顾性分析其临床特点及预后.结果 9
目的:研究自拟穴位敷贴治疗肛肠术后尿潴留的临床效果.方法:选取2015年1月~2017年1月昆山市中医医院肛肠科住院手术后出现尿潴留的患者160人,按随机数字表将160人随机分为治疗
目的 研究检查前输液在芬太尼联合丙泊酚无痛胃镜检查中的作用.方法 将119例行无痛胃镜检查患者采用随机配对2∶1分组方法分为两组:观察组(79例)检查前常规输注5%葡萄糖氯化钠注射液500ml后行芬太尼联合丙泊酚无痛胃镜检查,对照组(40例)直接进行无痛胃镜检查.观察检查前、中、后血压、心率和脉搏血氧饱和度变化、不良反应及丙泊酚用量.结果 两组检查中、检查后收缩压、舒张压均较检查前明显下降,差异有
期刊
目的探讨不同放射治疗方式对中晚期直肠癌患者的治疗效果及并发症和剂量学相关的研究。方法选取2014年5月至2017年5月山西省汾阳医院放射治疗科收治的80例中晚期直肠癌患者,根据术前放射治疗方式不同分为调强放射治疗(IMRT)治疗组与三维适形放射治疗(3D-CRT)治疗组,每组40例。IMRT治疗组男25例,女15例;年龄(56.2±6.3)岁,年龄范围42~73岁。3D-CRT治疗组男23例,女1