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高氧状态下清醒仓鼠窗式小室模型中的微血管氧分布

Microvascular oxygen distribution in awake hamster window chamber model during hyperoxia.

作者信息

Tsai Amy G, Cabrales Pedro, Winslow Robert M, Intaglietta Marcos

机构信息

Department of Bioengineering, University of California, San Diego, 9500 Gilman Dr., La Jolla, CA 92093-0412, USA.

出版信息

Am J Physiol Heart Circ Physiol. 2003 Oct;285(4):H1537-45. doi: 10.1152/ajpheart.00176.2003. Epub 2003 Jun 12.

Abstract

The microvascular effects and hemodynamic events following exposure to normobaric hyperoxia (because of inspiration of 100% O2) were studied in the awake hamster window chamber model and compared with normoxia. Hyperoxia increased arterial blood Po2 to 477.9 +/- 19.9 from 60.0 +/- 1.2 mmHg (P < 0.05). Heart rate and blood pressure were unaltered, whereas cardiac index was reduced from 196 +/- 13 to 144 +/- 31 ml.min-1.kg-1 (P < 0.05) in hyperoxia. Direct measurements in the microcirculation showed there was arteriolar vasoconstriction, reduction of microvascular flow (83% of control, P < 0.05), and functional capillary density (FCD, 74 +/- 16% of control), the latter change being significant (P < 0.05). Calculations of oxygen delivery and oxygen consumption based on the measured changes in microvascular blood flow velocity and diameter and estimates of oxygen saturation corrected for the Bohr effect due to the lowered pH and increased Pco2 showed that oxygen transport in the microvascular network did not change between normal and hyperoxic condition. The congruence of systemic and microvascular hemodynamics events found with hyperoxia suggests that the microvascular findings are common to most tissues in the organism, and that hyperoxia, due to vasoconstriction and the decrease of FCD, causes a maldistribution of perfusion in the microcirculation.

摘要

在清醒的仓鼠窗式 Chambers 模型中研究了暴露于常压高氧(因吸入 100%氧气)后的微血管效应和血流动力学事件,并与常氧情况进行比较。高氧使动脉血氧分压从 60.0±1.2 mmHg 升高至 477.9±19.9 mmHg(P<0.05)。心率和血压未改变,而高氧时心脏指数从 196±13 降至 144±31 ml·min-1·kg-1(P<0.05)。微循环的直接测量显示存在小动脉血管收缩、微血管血流减少(为对照的 83%,P<0.05)以及功能性毛细血管密度(FCD,为对照的 74±16%),后一变化具有显著性(P<0.05)。基于微血管血流速度和直径的测量变化以及针对因 pH 降低和 Pco2 升高的 Bohr 效应校正后的血氧饱和度估计值进行的氧输送和氧消耗计算表明,正常和高氧条件下微血管网络中的氧运输没有变化。高氧时全身和微血管血流动力学事件的一致性表明,微血管的这些发现对于机体的大多数组织是常见的,并且高氧由于血管收缩和 FCD 的降低,导致微循环中灌注分布不均。

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