Effros R M, Hacker A, Silverman P, Hukkanen J
Division of Pulmonary and Critical Care Medicine, Medical College of Wisconsin, Milwaukee 53226.
J Appl Physiol (1985). 1991 Jan;70(1):416-22. doi: 10.1152/jappl.1991.70.1.416.
A study was conducted to determine whether differences in the concentrations of large molecules between the air space and perfusate solutions altered the rates at which fluid was reabsorbed from isolated fluid-filled perfused rat lungs. Four groups of experiments were conducted: 1) 5 g/dl albumin in the air spaces and perfusate, 2) 15 g/dl albumin in the air space and 5 g/dl albumin in the perfusate, 3) 5 g/dl albumin in the air space and 15 g/dl albumin in the perfusate, and 4) a mixture of 5 g/dl albumin and 7 g/dl Dextran 70 in the air spaces and 5 g/dl albumin in the perfusate. Fluid reabsorption was determined by following the concentration of albumin labeled with Evans blue (T-1824) in the air space and perfusate compartments. Because leakage of protein between the air space and perfusate compartments is very slow, increases in T-1824 concentrations in the air spaces indicated loss of fluid from this compartment, whereas decreases in these concentrations in the perfusate compartment provided evidence of fluid transport into the vasculature. Approximately 30% of the air space fluid was reabsorbed in a 2-h period, and virtually all of this fluid reached the perfusate compartment. Despite oncotic differences that ranged from -65 to 65 Torr, variations in air space or perfusate albumin concentrations did not have a significant effect on this process. A 30% decrease in fluid reabsorption was observed when dextran was in the air space solution, but this decrease did not appear to be due to the oncotic properties of this solution because albumin did not have a measurable effect on reabsorption.(ABSTRACT TRUNCATED AT 250 WORDS)
进行了一项研究,以确定气腔与灌注液中大分子量物质浓度的差异是否会改变从离体充液灌注大鼠肺中重吸收液体的速率。进行了四组实验:1)气腔和灌注液中白蛋白浓度均为5 g/dl;2)气腔中白蛋白浓度为15 g/dl,灌注液中白蛋白浓度为5 g/dl;3)气腔中白蛋白浓度为5 g/dl,灌注液中白蛋白浓度为15 g/dl;4)气腔中为5 g/dl白蛋白与7 g/dl右旋糖酐70的混合物,灌注液中白蛋白浓度为5 g/dl。通过追踪气腔和灌注液隔室中用伊文思蓝(T-1824)标记的白蛋白浓度来测定液体重吸收情况。由于气腔与灌注液隔室之间蛋白质泄漏非常缓慢,气腔中T-1824浓度增加表明该隔室液体流失,而灌注液隔室中这些浓度降低则为液体转运至脉管系统提供了证据。在2小时内,约30%的气腔液体被重吸收,且几乎所有这些液体都到达了灌注液隔室。尽管渗透压差异在-65至65托之间,但气腔或灌注液白蛋白浓度的变化对这一过程没有显著影响。当右旋糖酐存在于气腔溶液中时,液体重吸收减少了30%,但这种减少似乎并非由于该溶液的渗透压特性,因为白蛋白对重吸收没有可测量的影响。(摘要截选至250字)