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Hepatorenal Factors in Circulatory HomeostasisIV. Tissue Origins of the Vasotropic Principles, VEM and VDM, Which Appear during Evolution of Hemorrhagic and Tourniquet Shock

 

作者: EPHRAIM SHORR,   BENJAMIN ZWEIFACH,   ROBERT FURCHGOTT,   SILVIO BAEZ,  

 

期刊: Circulation  (OVID Available online 1951)
卷期: Volume 3, issue 1  

页码: 42-79

 

ISSN:0009-7322

 

年代: 1951

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Studies were carried out in dogs and rabbits subjected to hemorrhagic and tourniquet shock to determine the tissue origins of two newly described vasotropic principles, VEM and VDM. The vasoexcitor principle, VEM, predominates in the blood during the initial compensatory stage and was traced to the kidney. The vasodepressor principle, VDM, prevails during the decompensatory phase and was found to originate in the liver, skeletal muscle and spleen. During the decompensatory phase, there was a progressive deterioration of the hepatic mechanisms for inactivating VDM. Sequential tissue hypoxia during shock is probably responsible for the formation of these vasotropic principles and for the deterioration of the hepatic VDM inactivation system. Special emphasis is placed on the effects of local concentrations of VDM within the liver and on the resultant diversion of blood from the general circulation into the splanchnic viscera.

 

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