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11. |
EFFECTS OF STROMA‐FREE HEMOGLOBIN SOLUTIONS ON PULMONARY VASCULAR RESISTANCE AND MEDIATOR RELEASE IN THE ISOLATED PERFUSED RABBIT LUNG |
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Shock,
Volume 1,
Issue 2,
1994,
Page 146-152
Thea Koch,
Hans Duncker,
Axel Heller,
Rolf Schaible,
Klaus van Ackern,
Heinz Neuhof,
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摘要:
The aim of this study was to evaluate the effect of an ultrapure bovine stroma-free hemoglobin (SFH) on pulmonary vascular resistance and mediator release and to analyze potential mechanisms of action in the isolated perfused rabbit lung model. Repetitive bolus applications of small amounts of bovine SFH were examined which resulted in a reproducible acute increase of pulmonary vascular resistance of approx. 9 mmHg (controls, n = 6). It was tested whether the platelet-activating factor (PAF) antagonist WEB 2086 (50 μM; n = 6), the cyclooxygenase blocker diclofenac (10 μg/ml; n = 6), the iron-chelating agent deferoxamine (500 μg/ml, n = 6) and the radical scavenger catalase (5000 U/ml; n = 6) exert a protective effect on vasoconstrictor response to SFH. The pressure increase was completely suppressed in the lungs pretreated with WEB 2086, whereas diclofenac, deferoxamine and catalase failed to inhibit the vasoconstriction due to SFH. No significant differences in either TXB2generation or in histamine release were found in the WEB 2086 group compared with untreated lungs. The results point towards the crucial role of PAF in mediation of vasoconstrictor side effects due to SFH.
ISSN:1073-2322
出版商:OVID
年代:1994
数据来源: OVID
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12. |
THE ROLE OF HISTAMINE IN THE INCREASED CARDIAC OUTPUT IN HYPERDYNAMIC ENDOTOXEMIA |
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Shock,
Volume 1,
Issue 2,
1994,
Page 153-153
Klára Tárnoky,
László Tutsek,
Sándor Nagy,
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PDF (421KB)
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摘要:
The role of histamine in the hyperdynamic circulatory response to endotoxin (ETX) was investigated in 32 anesthetized dogs by means of histamine H1- and H2-receptor blockade. A hyperdynamic circulation was elicited with a prolonged, slow infusion of a low dose of ETX, and hemodynamic parameters were examined in control and histamine receptor-blocked groups. The following groups were studied: Group ETX received a 2 h infusion ofEscherichia coli055:B5 endotoxin in a total dose of 13.75 μg/kg at a rate of 10 μg/kg for 45 min and then 5 μg/kg for 75 min. In addition to the same dose of ETX, Groups ETX+TPA and ETX + RAN received 0.5 mg/kg of the H1-blocker tripelennamine (TPA) or 2 mg/kg of the H2-blocker ranitidine (RAN), respectively. Infusion of ETX caused a moderate decrease in arterial pressure in Group ETX, whereas TPA but not RAN inhibited this pressure fall. The cardiac output (CO) increased by 41% above the baseline level in Group ETX. Both TPA and RAN prevented this rise in CO. The total peripheral resistance was considerably lowered by ETX, but this decrease was significantly attenuated in the TPA or RAN-treated groups. The heart rate rose significantly after ETX infusion and was unaffected by TPA or RAN. The stroke volume remained unchanged following ETX but was decreased both by TPA and by RAN. TPA or RAN, when given alone, did not affect any of the measured hemodynamic parameters. These experiments provide evidence of the participation of histamine in the hyperdynamic circulatory response in endotoxemia.
ISSN:1073-2322
出版商:OVID
年代:1994
数据来源: OVID
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