Björnberg J
Department of Physiology and Biophysics, University of Lund, Sweden.
Acta Physiol Scand. 1990 Oct;140(2):221-36. doi: 10.1111/j.1748-1716.1990.tb08994.x.
Average capillary pressure (Pc) close to the venous end (fluid equilibrium point) of the exchange vessels (denoted Pc,v), arterial (PA) and venous pressure, and the rate of net transcapillary fluid flux were continuously recorded in sympathectomized muscle during 30 min of graded exercise and for 30 min in the post-exercise period. Regional changes in colloid osmotic pressure (pi pl) and total osmolality in plasma, the latter reflecting work-induced interstitial hyperosmolality, were measured at intervals. In the control state at rest with a Starling fluid equilibrium, Pc,v averaged 17.6 +/- 0.8 mmHg. Exercise caused a rapid transcapillary plasma fluid loss, the net driving pressure for which in the initial phase of heavy work was 58 mmHg (transcapillary fluid flux divided by the capillary filtration coefficient). This comprised an increase in Pc,v of 16 mmHg, a nonprotein osmotic force (Posm) related to exercise-induced tissue hyperosmolality corresponding to 46 mmHg and an opposing force established by a raised pi pl of 4 mmHg. A theoretical analysis indicated that the main fraction of the osmotic fluid loss passed through transcellular ultrapores and only a minor part through conventional small pores. In spite of the fact that Pc remained high throughout the exercise period, the outward fluid flux gradually declined and a Starling equilibrium was re-established 23 min after the commencement of heavy exercise. This was explained by a gradual decline of Posm and apparently also by a secondary increase in tissue pressure (Pif) and/or a decrease in interstitial colloid osmotic pressure (pi if). Net fluid absorption occurred in the post-exercise period as a result of a gradual decrease in Pc, reversed transcapillary Posm and also maintained high Pif and/or low pi if. Exercise (even light) abolished normal Pc autoregulation, implying that the filtration component of net transcapillary fluid flux becomes distinctly modulated if PA is altered.
在分级运动的30分钟以及运动后30分钟内,持续记录交感神经切除肌肉中靠近交换血管静脉端(流体平衡点,记为Pc,v)的平均毛细血管压力(Pc)、动脉压(PA)和静脉压,以及跨毛细血管净流体通量。定期测量血浆中胶体渗透压(πpl)和总渗透压的区域变化,后者反映运动引起的间质高渗。在静息的对照状态下,处于斯塔林流体平衡时,Pc,v平均为17.6±0.8 mmHg。运动导致跨毛细血管血浆液体流失,在重体力劳动初始阶段,其净驱动压力为58 mmHg(跨毛细血管流体通量除以毛细血管滤过系数)。这包括Pc,v升高16 mmHg、与运动引起的组织高渗相关的非蛋白渗透力(Posm)相当于46 mmHg以及由πpl升高4 mmHg产生的反向力。理论分析表明,渗透液流失的主要部分通过跨细胞超滤孔,只有一小部分通过传统的小孔。尽管在整个运动期间Pc一直保持较高水平,但向外的流体通量逐渐下降,在重体力运动开始23分钟后重新建立了斯塔林平衡。这可以解释为Posm逐渐下降,显然还可以解释为组织压力(Pif)的二次升高和/或间质胶体渗透压(πif)的降低。运动后由于Pc逐渐降低、跨毛细血管Posm逆转以及Pif保持较高和/或πif较低,出现了净液体吸收。运动(即使是轻度运动)消除了正常的Pc自身调节,这意味着如果PA发生改变,跨毛细血管净流体通量的滤过成分会受到明显调节。