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使用 Robin Fahraeus 和 Torsten Lindqvist 的经典论文教授基础血液流变学。

Using a classic paper by Robin Fahraeus and Torsten Lindqvist to teach basic hemorheology.

机构信息

Centre of Inflammation and Metabolism, Department of Infectious Diseases, University Hospital Rigshospitalet, Copenhagen, Denmark.

出版信息

Adv Physiol Educ. 2013 Jun;37(2):129-33. doi: 10.1152/advan.00009.2013.

Abstract

"The viscosity of the blood in narrow capillary tubes" by Robin Fåhraeus and Torsten Lindqvist (Am J Physiol 96: 562-568, 1931) can be a valuable opportunity for teaching basic hemorheological principles in undergraduate cardiovascular physiology. This classic paper demonstrates that a progressive decline in apparent viscosity occurs when blood flows through glass capillary tubes of diminishing radius, which was later designated as the "Fåhraeus-Lindqvist effect." Subsequent studies have shown that apparent viscosity continues to decline at diameters that correspond to the arteriolar segments of the systemic vascular tree, where the majority of the total peripheral resistance resides and is actively regulated in vivo. The Fåhraeus-Lindqvist effect thus reduces microvascular resistance, thereby maintaining local tissue perfusion at a relatively lower blood pressure. The paper by Fåhraeus and Lindqvist can be used as a platform for a plenary discussion of these concepts as well as of the relationships among hematocrit, vessel diameter, red blood cell deformability, and resistance to blood flow and how these factors may affect the work of the heart.

摘要

罗宾·法厄豪斯(Robin Fåhraeus)和托斯滕·林德奎斯特(Torsten Lindqvist)的《狭窄毛细血管中血液的黏度》("The viscosity of the blood in narrow capillary tubes")一文,可以为本科心血管生理学教学提供宝贵的机会,教授基本血液流变学原理。这篇经典论文表明,当血液流经半径逐渐减小的玻璃毛细管时,表观黏度会逐渐下降,后来这一现象被称为“法厄豪斯-林德奎斯特效应”(Fåhraeus-Lindqvist effect)。随后的研究表明,在与全身血管树的小动脉段相对应的直径处,表观黏度仍会继续下降,而小动脉段是大部分外周阻力所在的位置,并在体内受到主动调节。因此,法厄豪斯-林德奎斯特效应降低了微血管阻力,从而在相对较低的血压下维持局部组织灌注。法厄豪斯和林德奎斯特的论文可以作为一个平台,对这些概念以及血细胞比容、血管直径、红细胞变形性与血流阻力之间的关系,以及这些因素如何影响心脏的工作进行全面讨论。

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