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血液浓缩对仓鼠横纹肌小动脉氧运输的影响。

Influence of hemoconcentration on arteriolar oxygen transport in hamster striated muscle.

作者信息

Kuo L, Pittman R N

机构信息

Department of Physiology, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298-0551.

出版信息

Am J Physiol. 1990 Dec;259(6 Pt 2):H1694-702. doi: 10.1152/ajpheart.1990.259.6.H1694.

Abstract

We investigated the influence of isovolemic hemoconcentration on microcirculatory hemodynamics and oxygen transport in the hamster cheek pouch retractor muscle. In 17 hamsters, measurements of red blood cell velocity, hematocrit, vessel diameter, segment length (L), hemoglobin oxygen saturation (SO2), and longitudinal SO2 gradient (delta SO2/L) were made in four branching orders of arterioles before and after isovolemic exchange with packed red blood cells. Hemoconcentration increased systemic hematocrit from 50 to 65%; systemic blood gases were unchanged, but mean arterial blood pressure increased approximately 10 mmHg. Accompanying this change in systemic hematocrit the microcirculatory hematocrit increased from 40 to 50%, and red blood cell velocity and computed blood flow decreased approximately 40 and 30%, respectively. In addition, delta SO2/L was significantly increased in the four arteriolar branching orders compared with control values. We estimated that approximately 10% of the oxygen that diffused across the arteriolar network was consumed by the surrounding tissue with the remainder assumed to have diffused to venules and capillaries. After hemoconcentration, the proportion of this diffusional transfer increased by approximately 80%. Convective oxygen flow remained at its control level in the first-order arterioles and progressively decreased below control in the more distal branching orders. Our analysis of arteriolar oxygen diffusion indicated that tissue oxygenation was unchanged after hemoconcentration, a result that can be attributed to a combined effect of decreased red blood cell velocity, arteriolar vasodilation, increased precapillary oxygen loss, and a relatively modest reduction in convective oxygen flow to the capillaries.

摘要

我们研究了等容性血液浓缩对仓鼠颊囊牵张肌微循环血流动力学和氧输送的影响。在17只仓鼠中,在与浓缩红细胞进行等容交换前后,对四级分支的小动脉测量红细胞速度、血细胞比容、血管直径、节段长度(L)、血红蛋白氧饱和度(SO2)和纵向SO2梯度(δSO2/L)。血液浓缩使全身血细胞比容从50%增至65%;全身血气未变,但平均动脉血压升高约10 mmHg。伴随全身血细胞比容的这种变化,微循环血细胞比容从40%增至50%,红细胞速度和计算得出的血流分别降低约40%和30%。此外,与对照值相比,四级小动脉分支的δSO2/L显著增加。我们估计,在小动脉网络中扩散的氧气约有10%被周围组织消耗,其余部分假定扩散至小静脉和毛细血管。血液浓缩后,这种扩散转移的比例增加了约80%。在一级小动脉中,对流氧流量保持在对照水平,在更远端的分支中逐渐降至对照水平以下。我们对小动脉氧扩散的分析表明,血液浓缩后组织氧合未变,这一结果可归因于红细胞速度降低、小动脉血管舒张、毛细血管前氧损失增加以及向毛细血管的对流氧流量相对适度减少的综合作用。

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