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在热应激期间,皮肤血管床是一个潜在的血液储存库。

Skin vascular bed is a potential blood reservoir during heat stress.

作者信息

Deschamps A, Magder S

机构信息

Critical Care Division, Royal Victorial Hospital, Montreal, Quebec, Canada.

出版信息

Am J Physiol. 1990 Dec;259(6 Pt 2):H1796-802. doi: 10.1152/ajpheart.1990.259.6.H1796.

Abstract

To determine the potential role of the skin vasculature as a blood reservoir, we measured venous compliance (Cv), resistance (Rv), and their product, the time constant of venous drainage (tau sk = RvCv), in skin flaps from the hindlimbs of 15 dogs anesthetized with pentobarbital sodium at different core temperatures (Tc, 37-42 degrees C), skin temperature (Ts, 25.3-50.0 degrees C), and during an infusion of papaverine (5%). The vasculature of the flap was isolated, and a double-occlusion technique was used to measure the static pressure in the venous compartment. The blood volume of the flap was altered by changing either flow or outflow pressure (Pv). The change in volume was estimated from the change in weight of the flap with a force transducer. At Tc = 37 degrees C, Rv was 2.27 +/- 0.81 mmHg.min.ml-1.100 g-1 (means +/- SD), Cv was 0.17 +/- 0.06 ml.mmHg-1.100 g-1, and tau sk was 28.0 +/- 8.8 s. Rv decreased with elevated Tc, Ts, and with papaverine. Cv increased with a rise in Tc and Ts. Increasing Tc and Ts did not change tau sk, but the papaverine infusion shortened it. The lowest tau sk (20 s) occurred during maximal vasodilatation. This long tau sk indicates that the skin could serve as a blood reservoir during heat stress.

摘要

为了确定皮肤血管系统作为血液储存库的潜在作用,我们在15只戊巴比妥钠麻醉的犬后肢皮瓣中,于不同的核心温度(Tc,37 - 42℃)、皮肤温度(Ts,25.3 - 50.0℃)以及在输注罂粟碱(5%)期间,测量了静脉顺应性(Cv)、阻力(Rv)及其乘积——静脉引流时间常数(tau sk = RvCv)。分离皮瓣的血管系统,采用双阻断技术测量静脉腔的静压。通过改变流量或流出压力(Pv)来改变皮瓣的血容量。皮瓣重量的变化通过力传感器进行估计。在Tc = 37℃时,Rv为2.27±0.81 mmHg·min·ml⁻¹·100 g⁻¹(均值±标准差),Cv为0.17±0.06 ml·mmHg⁻¹·100 g⁻¹,tau sk为28.0±8.8 s。Rv随Tc升高、Ts升高以及使用罂粟碱而降低。Cv随Tc和Ts升高而增加。Tc和Ts升高并未改变tau sk,但输注罂粟碱使其缩短。最低的tau sk(20 s)出现在最大血管舒张时。这个较长的tau sk表明在热应激期间皮肤可作为血液储存库。

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