Hunter M, Lee J
Department of Biomedical Engineering, University of Virginia, Charlottesville 22908.
Microvasc Res. 1992 Nov;44(3):319-33. doi: 10.1016/0026-2862(92)90091-3.
The change in venous blood density in an in vitro rabbit lung preparation was measured after the osmolarity of the blood was elevated 17 to 50 mosmol/liter by a constant arterial infusion of hypertonic saline. We observed a transient density decrease of the blood flowing from the lung and then a return to the preinfusion density within 10 sec, an indication of the rapid completion of fluid extraction from the interstitia by the elevation in osmotic pressure. By fitting the time course of the density change with the prediction of an extraction model, we obtained the osmotic conductance sigma K (the product of the reflection and filtration coefficient) of the lung due to the increase in NaCl osmotic pressure as 1.33 +/- 0.18 ml/[hr.(mosmol/liter).g wet lung tissue] (mean +/- SEM), the interstitial volume participating in the extraction process as 0.27 +/- 0.04 ml/g of lung tissue, and the volume of fluid extracted as 1.12 +/- 0.16 microliter/g tissue for every mosmol/liter elevation. Since we also found no significant difference between the osmotic extraction parameters determined in blood-perfused lungs and those determined in plasma-perfused lungs, we concluded that the rapid density change is the result of the fluid extraction and not the flow impediment of red blood cells caused by the increase in osmolarity.
通过向家兔离体肺灌注恒定速率的高渗盐水,使血液渗透压升高17至50毫渗摩尔/升,然后测量静脉血密度的变化。我们观察到从肺流出的血液密度出现短暂下降,随后在10秒内恢复到灌注前的密度,这表明渗透压升高使间质中的液体迅速被吸出。通过将密度变化的时间过程与提取模型的预测结果进行拟合,我们得出,由于NaCl渗透压升高,肺的渗透传导率σK(反射系数与滤过系数的乘积)为1.33±0.18毫升/[小时·(毫渗摩尔/升)·克湿肺组织](平均值±标准误),参与提取过程的间质体积为0.27±0.04毫升/克肺组织,每升高1毫渗摩尔/升,吸出的液体体积为1.12±0.16微升/克组织。由于我们还发现,在血液灌注肺和血浆灌注肺中测定的渗透提取参数之间没有显著差异,因此我们得出结论,快速的密度变化是液体吸出的结果,而不是渗透压升高导致红细胞流动受阻的结果。