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Physiologie

  • H. Dancygier
  • U. Leuschner
  • D. Häussinger
Chapter

Zusammenfassung

Der hepatische Blutfluss beträgt ca. 1800 ml/min beim Mann und 1500 ml/min bei der Frau. Über die Leberarterie und die Pfortader wird die Leber doppelt mit Blut versorgt. 25–30% des Blutflusses erfolgen über die A. hepatica, 70–75% über die V. portae, die das gesamte Blut aus dem Splanchnikusbereich (25% aus Milz und Pankreas, 75% aus Magen und Darm) aufnimmt (Abb. 4.1.1). Im Gegensatz zur V. portae, deren Blut sich ausschließlich in die Sinusoide ergießt, versorgt die A. hepatica primär nicht das Leberparenchym, sondern andere Strukturen (s. Kap. 3.1), bevor sich ihr Blut mit dem der V. portae in den Sinusoiden mischt. Aus ihr entspringen peribiliäre Plexus, Gefäßverzweigungen im interstitiellen portalen Bindegewebe, Leberkapselgefäße, die Vasa vasorum der Portalvenenäste sowie der zentralen, sublobulären und großen Lebervenen. Die Arteriolen in den Portalfeldern, die die Wand der Portalvene, der Gallengänge und das Interstitium versorgen, bilden ein eigenes Pfortadersystem. Arteriolen, die unter Umgehung des Läppchenparenchyms direkt in die Zentral- und Lebervenen drainieren, werden als „Bypassarterien“ bezeichnet.

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© Springer-Verlag Berlin Heidelberg 2003

Authors and Affiliations

  • H. Dancygier
  • U. Leuschner
  • D. Häussinger

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