Paris-Descartes University, Paris, France.
Acta Physiol (Oxf). 2010 Apr;198(4):417-30. doi: 10.1111/j.1748-1716.2009.02073.x. Epub 2009 Dec 26.
Physiologically, macro- and microcirculation differ markedly as macrocirculation deals with pulsatile pressure and flow and microcirculation with steady pressure and flow. Various such haemodynamic aspects correspond to a large heterogeneity in the structure and function of the vascular tree. In the past, diseases such as hypertension and diabetes mellitus were classified on the basis of the structure and function of small and large arteries. The purpose of this paper is to review the cross-talk between the micro- and macrocirculation. We shall discuss this cross-talk from the perspective of the development, physiology and pathology of the entire arterial tree.
从生理学角度来看,宏观和微循环有显著的区别,宏观循环处理脉动压力和流量,而微循环处理稳定的压力和流量。各种血流动力学方面对应于血管树的结构和功能的很大异质性。过去,高血压和糖尿病等疾病是根据小动脉和大动脉的结构和功能来分类的。本文的目的是综述微循环和宏观循环之间的相互作用。我们将从整个动脉树的发育、生理学和病理学的角度来讨论这种相互作用。