Almond N E, Wheatley A M
Department of Visceral Surgery, University of Berne, Inselspital, Switzerland.
Am J Physiol. 1992 Feb;262(2 Pt 1):G203-9. doi: 10.1152/ajpgi.1992.262.2.G203.
Little is known about the performance of the laser Doppler flowmeter (LDF) with changes in flow characteristics in the hepatic microcirculation. Red blood cell (RBC) flux, as measured by LDF, is sensitive to alterations in RBC velocity and RBC concentration, and both parameters must be considered when evaluating the technique. In vitro, linearity of LDF signal with RBC velocity up to 4 mm/s (r greater than 0.99) and RBC volume fractions up to 1.5% were demonstrated (r greater than 0.98). At higher velocities and volume fractions, RBC flux was underestimated. In portally perfused rat liver, LDF output was linearly related to total liver blood flow (TLBF; r greater than 0.9) for perfusate hematocrits between 2.5 and 40%, although the slope varied between preparations. At constant TLBF (2 ml.min-1.g-1), the LDF output changed linearly with perfusate hematocrit up to 20% (r greater than 0.99) but underestimated the increase at 40%. These results suggest that the LDF responds linearly to velocity-mediated flow changes but that it may underestimate a change if mediated through alteration in tissue RBC concentration. With hepatic nerve stimulation, TLBF fell to 51 +/- 14% of prestimulation (P less than 0.001), whereas the LDF output and superficial flow measured by 85Kr clearance fell to 12 +/- 10 and 14 +/- 10% (both P less than 0.01 vs. TLBF), respectively, suggesting that the LDF may be used to follow rapid flow changes in the periphery of the liver.
关于激光多普勒血流仪(LDF)在肝微循环血流特性变化时的性能了解甚少。通过LDF测量的红细胞(RBC)通量对RBC速度和RBC浓度的改变敏感,在评估该技术时必须考虑这两个参数。在体外,已证明LDF信号与高达4 mm/s的RBC速度(r大于0.99)以及高达1.5%的RBC体积分数呈线性关系(r大于0.98)。在更高的速度和体积分数下,RBC通量被低估。在门静脉灌注的大鼠肝脏中,对于灌注液血细胞比容在2.5%至40%之间,LDF输出与肝脏总血流量(TLBF;r大于0.9)呈线性相关,尽管不同制剂之间斜率有所变化。在恒定的TLBF(2 ml·min-1·g-1)下,LDF输出随灌注液血细胞比容变化直至20%时呈线性变化(r大于0.99),但在40%时低估了增加幅度。这些结果表明,LDF对速度介导的血流变化呈线性响应,但如果是通过组织RBC浓度的改变介导的变化,它可能会低估。在肝神经刺激时,TLBF降至刺激前的51±14%(P小于0.001),而LDF输出和通过85Kr清除法测量的表面血流分别降至12±10%和14±10%(两者与TLBF相比P均小于0.01),这表明LDF可用于跟踪肝脏周边的快速血流变化。