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Role of Vagosympathetic Fibers in the Control of AdrenocorticotropicHormone, Vasopressin, and Renin Responses to Hemorrhage in Fetal Sheep

 

作者: Charles Wood,   Hong-Gen Chen,   M. Bell,  

 

期刊: Circulation Research  (OVID Available online 1989)
卷期: Volume 64, issue 3  

页码: 515-523

 

ISSN:0009-7330

 

年代: 1989

 

出版商: OVID

 

关键词: vagus nerve;adrenocorticotropic hormone;vasopressin;renin;arterial pressure;central venous pressure;heart rate;hemorrhage;sheep

 

数据来源: OVID

 

摘要:

Hemorrhage stimulates endocrine and cardiovascular reflex responses that are appropriate for returning blood volume and pressure to prehemorrhage levels. Fetal sheep respond to hemorrhage with increases in plasma adrenocorticotropic hormone (ACTH), cortisol, and vasopressin concentrations and plasma renin activity, but little is known about the afferent limb of the reflex(es) controlling these responses. Fetal sheep between 128 and 133 days' gestation were chronically prepared with vascular catheters. Five fetal sheep were subjected to bilateral section of the cervical vagosympathetic trunks; six fetal sheep were not vagotomized. Four to six days after surgery, the fetuses were subjected to withdrawal of 10 ml of blood every 10 minutes for 2 hours (130 ml total). Vagotomized fetal sheep responded to the hemorrhage with a greater decrease in central venous pressure than the intact fetuses and a slower restitution of fluid to the vascular space (estimated to be 17percent; of the hemorrhage volume in 2 hours) than the intact fetuses (estimated to be 28percent; of the hemorrhage volume in 2 hours). Both groups of fetuses, however, responded to the hemorrhage with increases in fetal plasma ACTH, cortisol, and vasopressin concentrations and plasma renin activity that were not significantly different. A posteriori analysis of the data by correlation analysis revealed that the fetal ACTH, vasopressin, and renin responses to the hemorrhage were more highly correlated to the changes in fetal arterial pH than to changes in fetal mean arterial pressure or central venous pressure. The results suggest that the ACTH, vasopressin, and renin responses to hemorrhage in the fetus may be mediated by chemoreceptors, not by cardiovascular mechanoreceptors. The results suggest the possibility that the fetal hormonal responses to hemorrhage may be secondary to the acidemia produced by reduced umbilical-placenta! perfusion during the period of hypovolemia.

 

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