戴爱国,张珍祥,牛汝楫,徐汝健,段生福.一氧化氮对急、慢性缺氧大鼠血流动力学及缺氧性肺血管收缩反应的影响.[J].中南医学科学杂志.,1996,(3):.
一氧化氮对急、慢性缺氧大鼠血流动力学及缺氧性肺血管收缩反应的影响
Effects of Inhaled Nitric Oxide on Hemodynamics and Hypoxic Pulmonary Vasoconstriction in Acute and Chronic Hypoxic Rats
  
DOI:
中文关键词:  缺氧  一氧化氮  血流动力学  肺动脉高压
英文关键词:hypoxia,nitric oxide,hemodynamics,pulmonary hypertension
基金项目:国家“八五”科技攻关课题
戴爱国  张珍祥  牛汝楫  徐汝健  段生福
衡阳医学院第一附属医院,同济医科大学附属同济医院呼吸系疾病研究室
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中文摘要:
      观察了吸入0.004%的一氧化氮(NO)对急、慢性缺氧大鼠血流动力学、缺氧性肺血管收缩反应(HPV)、血气及高铁血红蛋白(MetHb)的影响。结果表明:(1)常氧吸入NO时能明显降低慢性缺氧大鼠肺动脉平均压(Ppa)和肺血管阻力(PVR),但对正常大鼠的Ppa和PVR无明显影响;(2)慢性缺氧大鼠急性缺氧时HPV较正常大鼠弱,吸入NO不但降低两者的急性缺氧肺动脉高压,且完全逆转两者的HPV;(3)吸入NO对急、慢性缺氧大鼠体循环血流动力学、血气及MetHb含量无明显影响。提示吸入NO能选择性降低,急、慢性缺氧性肺动脉高血压,且逆转HPV。
英文摘要:
      The effects of inhalation of 0.004% nitric oxide (NO) on hemodynamics, hypoxic pulmonary vasoconstriction (HPV), blood gas and plasma methemoglobin (MethBb) level in acute as well as chronic hypoxic rats were investigated.The results were as follows:(1)The mean pulmonary arterial pressure(Ppa)and pulmonary vascular resistance (PVR) were significantly decreased by inhaled NO in chronic hypoxic rats (P<0.01), but these changes were not observed in normoxic control ratst.(2)The HPV was weaker in chronic hypoxic rats than that in control animals. The pulmonary arterial hypertension induced by acute hypoxia was lowered greatly and HPV strengthened by acute hypoxia was reversed completely by inhalation of NO in both chronic hypoxic control rats. (3)There was no effect on systemic arterial pressure,systemic vascular resistance, PaO_2,P_aCO_2 and MetHb level in acute and chronic hypoxic rats inhaling NO. It is suggested that the pulmonary arterial hypertension induced by acute and chronic hypoxia could be lowered selectively and the HPV induced by hypoxia could be reversed by inhalation of 0. 004% NO in rats.
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