PERSISTENT ARTERIOLAR CONSTRICTION IN MICROCIRCULATION OF THE TERMINAL ILEUM FOLLOWING MODERATE HEMORRHAGIC HYPOVOLEMIA AND VOLUME RESTORATION

被引:32
作者
SCALIA, S
BURTON, H
VANWYLEN, D
STEINBERG, S
HOFFMAN, A
ROCHE, F
FLINT, L
机构
[1] TULANE UNIV,SCH MED,DEPT SURG,1430 TULANE AVE,NEW ORLEANS,LA 70112
[2] SUNY BUFFALO,DEPT SURG,BUFFALO,NY 14260
[3] SUNY BUFFALO,DEPT PHYSIOL,BUFFALO,NY 14260
关键词
D O I
10.1097/00005373-199006000-00010
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
A stable in vivo preparation of moderate hypovolemia with prompt volume restoration was produced in anesthetized rats. The microcirculation of the terminal ileum was observed in vivo videomicroscopy, and changes in mean arterial pressure (MAP) as well as arteriolar diameters were recorded after a 30-min period in which the MAP was reduced by 50% by bleeding. Volume was restored with shed blood alone (control); dextran 70 alone (dextran); or dextran + hypertonic (7.5%) saline (dextran + HS). A final group of rats was pretreated with allopurinol 5 mg/kg and then treated identically to the control group to assess the role of the xanthine oxidase system in microcirculation changes following hemorrhage. MAP was restored to normal by return of shed blood in control animals, but inflow arterioles (Al) remained significantly constricted. MAP was significantly higher and Al arteriolar dilation was observed in the dextran + HS group. Responses in allopurinol-pretreated animals were not different from the responses seen in control animals. We conclude that persistent arteriolar constriction is produced by moderate hypovolemia and this effect is ameliorated by volume restoration with dextran + HS. © 1990 by The Williams and Wilkins Co.
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收藏
页码:713 / 718
页数:6
相关论文
共 22 条
[1]   THE GUT ORIGIN SEPTIC STATES IN BLUNT MULTIPLE TRAUMA (ISS = 40) IN THE ICU [J].
BORDER, JR ;
HASSETT, J ;
LADUCA, J ;
SEIBEL, R ;
STEINBERG, S ;
MILLS, B ;
LOSI, P ;
BORDER, D .
ANNALS OF SURGERY, 1987, 206 (04) :427-448
[2]   SEPTIC AUTOCANNIBALISM - A FAILURE OF EXOGENOUS NUTRITIONAL SUPPORT [J].
CERRA, FB ;
SIEGEL, JH ;
COLEMAN, B ;
BORDER, JR ;
MCMENAMY, RR .
ANNALS OF SURGERY, 1980, 192 (04) :570-580
[3]  
CERRA FB, 1988, PERSPECTIVES SHOCK R, P27
[4]  
FIDDIANGREEN RG, 1988, ANN ROY COLL SURG, V70, P128
[5]  
FLOHE L, 1987, REV INFECT DIS, V9, pS553
[6]  
GANS H, 1974, SURG GYNECOL OBSTET, V139, P395
[7]   MICROVASCULAR PRESSURES IN RAT INTESTINAL MUSCLE AND MUCOSAL VILLI [J].
GORE, RW ;
BOHLEN, HG .
AMERICAN JOURNAL OF PHYSIOLOGY, 1977, 233 (06) :H685-H693
[8]  
GOSCHE J, 1990, IN PRESS J SURG RES
[9]   ENTERAL AND PARENTERAL-FEEDING INFLUENCES MORTALITY AFTER HEMOGLOBIN ESCHERICHIA-COLI PERITONITIS IN NORMAL RATS [J].
KUDSK, KA ;
STONE, JM ;
CARPENTER, G ;
SHELDON, GF .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1983, 23 (07) :605-609
[10]  
LEFER AM, 1989, SPLANCHNIC ISCHEMIA, P213