Watson P D, Wolf M B
Am J Physiol. 1985 Apr;248(4 Pt 2):H452-6. doi: 10.1152/ajpheart.1985.248.4.H452.
To investigate the possible mechanisms through which dextran modifies capillary filtration coefficient (CFC), the effects of perfusion with a protein-free dextran solution were compared with those of perfusion with a Ringerlike solution. With the use of the isolated cat hindlimb, CFC was measured during perfusion at constant flow with three solutions, a control blood-albumin mixture, a Ringerlike solution called dialysate, and 3.7 g/dl dextran dissolved in dialysate. The solutions were warmed to 37-38 degrees C, bubbled with 95% O2-5% CO2, and contained 0.015 g/dl or more papaverine. CFC was calculated from the rate of limb weight gain following a step increase in venous pressure. Dextran perfusion increased CFC to 2.0 +/- 0.2 (SD, n = 8) times control, which was significantly less (P less than 0.001) than 3.1 +/- 0.6 (n = 8) times control previously reported for dialysate perfusion. The difference between the measured viscosity of dextran (1.35 cP) and dialysate (0.72) could account for this reduction. However, when a dialysate perfusion followed a dextran perfusion, CFC only increased to 2.3 +/- 0.4 (n = 8) times control. This value is also significantly less (P less than 0.01) than 3.1. This observation suggests 1) that dextran is retained within the transcapillary channel and 2) that dextran reduces CFC mainly by partially blocking the transcapillary channel rather than by increasing viscosity.
为研究右旋糖酐改变毛细血管滤过系数(CFC)的可能机制,将无蛋白右旋糖酐溶液灌注的效果与林格氏液灌注的效果进行了比较。利用离体猫后肢,在以恒定流量灌注三种溶液(对照血白蛋白混合物、一种称为透析液的林格氏液以及溶解于透析液中的3.7g/dl右旋糖酐)期间测量CFC。溶液加热至37 - 38摄氏度,用95% O₂ - 5% CO₂鼓泡,并含有0.015g/dl或更多的罂粟碱。CFC根据静脉压阶跃升高后肢体重量增加的速率计算得出。右旋糖酐灌注使CFC增加至对照值的2.0±0.2(标准差,n = 8)倍,这显著低于(P<0.001)先前报道的透析液灌注时对照值的3.1±0.6(n = 8)倍。右旋糖酐(1.35厘泊)与透析液(0.72)测量粘度之间的差异可解释这种降低。然而,当在右旋糖酐灌注后进行透析液灌注时,CFC仅增加至对照值的2.3±0.4(n = 8)倍。该值也显著低于(P<0.01)3.1。这一观察结果表明:1)右旋糖酐保留在跨毛细血管通道内;2)右旋糖酐降低CFC主要是通过部分阻塞跨毛细血管通道,而非通过增加粘度。