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血液稀释对脑毛细血管网络中红细胞速度、供应率和血细胞比容的影响。

Effect of hemodilution on RBC velocity, supply rate, and hematocrit in the cerebral capillary network.

作者信息

Hudetz A G, Wood J D, Biswal B B, Krolo I, Kampine J P

机构信息

Departments of Anesthesiology and Physiology, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA.

出版信息

J Appl Physiol (1985). 1999 Aug;87(2):505-9. doi: 10.1152/jappl.1999.87.2.505.

Abstract

The effect of isovolemic hemodilution on the circulation of red blood cells (RBCs) in the cerebrocortical capillary network was studied by intravital videomicroscopy with use of a closed-cranial-window technique in the rat. Velocity and supply rate of RBCs were measured by tracking the movement and counting the number of fluorescently labeled cells. Arterial blood was withdrawn in increments of 2 ml and replaced by serum albumin. Arterial blood pressure was maintained constant with an infusion of methoxamine. Both velocity and supply rate of RBCs increased, by approximately equal amounts, as arterial hematocrit was reduced from 44 to 15%. The maximum increase in RBC velocity was 4.6 and in RBC supply rate was 5.2 times the baseline value. Calculated lineal density of RBC, an index of capillary hematocrit, did not change with hemodilution. The results suggest that RBC flow and oxygen supply in the cerebral capillary network are maintained during isovolemic hemodilution. The "optimal hematocrit" is as low as 15%.

摘要

采用大鼠开颅窗技术,通过活体视频显微镜研究了等容血液稀释对大脑皮质毛细血管网络中红细胞(RBC)循环的影响。通过追踪荧光标记细胞的运动并计数其数量来测量红细胞的速度和供应率。每次抽取2ml动脉血,并用血清白蛋白替代。通过输注甲氧明维持动脉血压恒定。随着动脉血细胞比容从44%降至15%,红细胞的速度和供应率均增加,且增加幅度大致相等。红细胞速度的最大增幅为基线值的4.6倍,红细胞供应率的最大增幅为基线值的5.2倍。作为毛细血管血细胞比容指标的红细胞计算线密度在血液稀释过程中没有变化。结果表明,在等容血液稀释过程中,脑毛细血管网络中的红细胞流动和氧气供应得以维持。“最佳血细胞比容”低至15%。

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