[实验性肺血栓栓塞和阻断肾上腺素受体后的肺血流动力学]。

V I Evlakhov, I Z Poyassov, E V Shaidakov
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引用次数: 0

摘要

在急性麻醉家兔实验中,研究了肺血栓栓塞后肺血流动力学的变化。对照组循环完好动物肺栓塞后,阻断α -肾上腺素能后肺动脉压力和肺血管阻力均升高,但肺动脉流量下降幅度相同。然而,在对照动物中,心输出量比肺流量减少得更多;上腔静脉流量下降幅度小于下腔静脉流量。阻断α -肾上腺素受体后,心排血量与肺流量的减少以及上下腔静脉流量的减少均不存在不平衡。在阻断α -肾上腺素受体后肺灌注的动物中,肺栓塞后的肺动脉压增加到与循环完整的动物相同的水平,然而,在第一种情况下,肺血管阻力的增加比最后一种情况少4倍。因此,我们认为肺血栓栓塞后α -肾上腺素能机制的激活不仅能促进肺血管阻力的增加,而且这些机制还参与了肺血管容性功能的改变。
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[THE PULMONARY HEMODYNAMICS FOLLOWING EXPERIMENTAL PULMONARY THROMBOEMBOLISM AND AFTER BLOCKADE OF THE ALPHA-ADRENOCEPTORS].

In acute experiments on the anesthetized rabbits the pulmonary hemodynamics changes following pulmonary thromboembolism were studied in animals with intact circulation and isolated lungs perfusion in the control series and after the blockade of the alpha-adrenoceptors. Following pulmonary embolism in animals with intact circulation in the control group and after the blockade of alpha-adrenoceptors the pulmonary artery pressure and pulmonary vascular resistance increased, but the pulmonary artery flow decreased to the same extent. However, in control animals, the cardiac output decreased more, than the pulmonary flow; the superior vena cava flow was decreased less, than inferior vena cava flow. After the blockade of the alpha-adrenoceptors there were no any imbalance between the decreasing of the cardiac output and pulmonary flow as well as between the decreasing of superior and inferior venae cavae flows. In animals with perfused lungs after the blockade of the alpha-adrenoceptors the pulmonary artery pressure following pulmonary embolism increased to the same level as in animals with intact circulation, however, in the first case the pulmonary vascular resistance increased four times less than in the last one. Thus, we concluded, that following pulmonary thromboembolism the activation of the alpha adrenergic mechanisms could not only promote to increase the resistance of the pulmonary vessels, but these mechanisms are also involved in the changes of the capacitive function of the pulmonary vessels.

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