Miller G L, Kline R L, Scott J B, Haddy F J, Grega G J
Proc Soc Exp Biol Med. 1975 Jul;149(3):581-6. doi: 10.3181/00379727-149-38856.
The aim of this study was to determine if edema develops in the canine forelimb after relief of prolonged ischemia. Two hours of ischemia was induced either by interrupting brachial artery inflow in collateral-free innervated, naturally and constantly perfused preparations or by applying a pressure cuff in intact preparations. Changes in extravascular fluid volume were inferred from changes in limb weight. Relief of ischemia produced a transient 1.7% increase in weight in the collateral-free, naturally perfused preparation but had no effect on weight in the collateral-free, constantly perfused or intact preparations. Skin lymph flow failed to change significantly and total lymph protein concentration increased only slightly. Thus, relief of 2 hr of ischemia does not produce marked edema or a large increase in microvascular permeability to plasma proteins in the dog forelimb.
本研究的目的是确定长时间缺血解除后犬前肢是否会出现水肿。通过在无侧支神经支配、自然持续灌注的标本中阻断肱动脉血流或在完整标本中应用压力袖带诱导两小时缺血。从肢体重量变化推断血管外液体积的变化。在无侧支自然灌注的标本中,缺血解除使重量短暂增加1.7%,但在无侧支持续灌注或完整标本中对重量没有影响。皮肤淋巴流量没有显著变化,总淋巴蛋白浓度仅略有增加。因此,两小时缺血解除不会在犬前肢产生明显水肿或微血管对血浆蛋白的通透性大幅增加。