He Qinghong, Zhu Liang, Lemons Daniel E, Weinbaum Sheldon
Department of Mechanical Engineering, University of Maryland Baltimore County, Baltimore, MD 21250, USA.
J Biomech Eng. 2002 Dec;124(6):656-61. doi: 10.1115/1.1517061.
Theoretical studies have indicated that a significant fraction of all blood-tissue heat transfer occurs in artery-vein pairs whose arterial diameter varies between 200 and 1000 microns. In this study, we have developed a new in vivo technique in which it is possible to make the first direct measurements of the countercurrent thermal equilibration that occurs along thermally significant vessels of this size. Fine wire thermocouples were attached by superglue to the femoral arteries and veins and their subsequent branches in rats and the axial temperature variation in each vessel was measured under different physiological conditions. Unlike the blood vessels < 200 microns in diameter, where the blood rapidly equilibrates with the surrounding tissue, we found that the thermal equilibration length of blood vessels between 200 microns and 1000 microns in diameter is longer than or at least equivalent to the vessel length. It is shown that the axial arterial temperature decays from 44% to 76% of the total core-skin temperature difference along blood vessels of this size, and this decay depends strongly on the local blood perfusion rate and the vascular geometry. Our experimental measurements also showed that the SAV venous blood recaptured up to 41% of the total heat released from its countercurrent artery under normal conditions. The contribution of countercurrent heat exchange is significantly reduced in these larger thermally significant vessels for hyperemic conditions as predicted by previous theoretical analyses. Results from this study, when combined with previous analyses of vessel pairs less than 200 microns diameter, enable one estimate the arterial supply temperature and the correction coefficient in the modified perfusion source term developed by the authors.
理论研究表明,所有血液与组织间的热传递中,很大一部分发生在动脉直径在200至1000微米之间的动静脉对中。在本研究中,我们开发了一种新的体内技术,利用该技术能够首次直接测量沿这种尺寸的具有显著热效应的血管发生的逆流热平衡。用强力胶水将细金属丝热电偶附着在大鼠的股动脉、静脉及其后续分支上,并在不同生理条件下测量每根血管的轴向温度变化。与直径小于200微米的血管不同,在这类血管中血液会迅速与周围组织达到热平衡,我们发现直径在200微米至1000微米之间的血管的热平衡长度大于或至少等于血管长度。结果表明,沿这种尺寸的血管,动脉轴向温度从核心与皮肤总温差的44%降至76%,且这种下降强烈依赖于局部血液灌注率和血管几何形状。我们的实验测量还表明,在正常条件下,伴行静脉血液最多可重新获取其逆流动脉释放的总热量的41%。如先前理论分析所预测的,在充血状态下,这些较大的具有显著热效应的血管中逆流热交换的贡献会显著降低。本研究结果与先前对直径小于200微米的血管对的分析相结合,使人们能够估算动脉供血温度以及作者开发的修正灌注源项中的校正系数。