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Vol. 83, Issue 5, 1648-1653, 1997
Departments of Surgery and Physiology, University of Maryland School of Medicine, Baltimore, Maryland 21201
Received 3 April 1997; accepted in final form 16 July 1997.
Darlington, Daniel N., and Majid J. Tehrani. Blood
flow, vascular resistance, and blood volume after hemorrhage in conscious adrenalectomized rat. J. Appl.
Physiol. 83(5): 1648-1653, 1997.
Hemorrhage leads
to cardiovascular collapse and death in adrenal-insufficient animals.
To determine whether the cardiovascular collapse is due to vasodilation
and/or failure to restore blood volume, we used radiolabeled
microspheres and 125I-labeled
albumin to measure blood flow and blood volume in conscious adrenalectomized (ADX) rats after 15 ml · kg
1 · 3 min
1 hemorrhage. In ADX
rats, hemorrhage led to a greater fall than in sham rats in blood flow
in the stomach, small intestines, cecum, colon, spleen, hepatic portal
vein, kidney, testis, lung, thymus, bone, fat, forebrain, cerebellum,
and brainstem. The greater fall in blood flow was caused by an increase
in vascular resistance in these organs except brain and hepatic artery.
Sham rats maintained or increased brain and hepatic artery blood flow
after hemorrhage whereas flow decreased and remained depressed in ADX
rats. ADX rats failed to restore blood volume, whereas sham rats
completely restored blood flow by 2 h. We conclude that cardiovascular
collapse in ADX rats does not result from vasodilatation but may result from a failure to restore blood volume. The failure to restore blood
volume and the low blood flow to organs, especially brain and liver,
may contribute to mortality in ADX rats after hemorrhage.
adrenalectomy
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