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在离体肺叶制备物中,经血管的力会达到平衡吗?

Do transvascular forces in isolated lobe preparations equilibrate?

作者信息

Hancock B J, Hoppensack M, Oppenheimer L

机构信息

Department of Surgery, University of Manitoba, Winnipeg, Canada.

出版信息

J Appl Physiol (1985). 1989 Aug;67(2):628-35. doi: 10.1152/jappl.1989.67.2.628.

Abstract

We used the stepwise pressure elevation technique to study the relationship between rate of constant weight gain (Qf) and microvascular pressure (Pc) in eight isolated canine left lower lobes. The slope of this relationship, which is assumed to represent lobar conductance to filtration (Kf) was 0.0022 +/- 0.003 ml.min-1.cmH2O-1.g dry wt-1. The intercept when Qf = 0, Pcrit, commonly interpreted as the Pc at which the balance of forces across the microvasculature is overwhelmed, was 9.53 +/- 1.18 cmH2O, a lower Pc than commonly used in weight transient experiments. Consequently, at Pc greater than 9.53 cmH2O, isogravimetric conditions were never achieved. In 12 additional experiments, the perfusate's colloid osmotic pressure (II) was increased from 12 to 37 mmHg with albumin. On average, Pcrit increased from 12.2 to 23 cmH2O. Using the changes in Pcrit and II, we estimated the microvascular drag reflection coefficient for albumin (sigma d) to be 0.67. After the addition of albumin, Pc less than Pcrit induced constant weight loss along the same Qf-to-Pc relationship. To control for time, five additional lobes were observed at constant Pc for 100-180 min. Slight acceleration of the rate of weight gain occurred after they increased their weight by 30-40%. The low Kf and high sigma d, as well as the stability of the preparation, suggest a well-preserved microvasculature. Qf at Pc between 12 and 24 cmH2O did not influence measurements of Kf using the weight transient method. The low Pcrit may reflect obliteration of lymphatic channels.

摘要

我们采用逐步升高压力技术,研究了8个离体犬左下叶恒定体重增加速率(Qf)与微血管压力(Pc)之间的关系。该关系的斜率假定代表肺叶对滤过的传导率(Kf),为0.0022±0.003 ml·min⁻¹·cmH₂O⁻¹·g干重⁻¹。当Qf = 0时的截距Pcrit,通常被解释为微血管跨壁力平衡被打破时的Pc,为9.53±1.18 cmH₂O,这一Pc低于体重瞬变实验中常用的值。因此,在Pc大于9.53 cmH₂O时,从未实现等重条件。在另外12个实验中,用白蛋白将灌注液的胶体渗透压(II)从12 mmHg提高到37 mmHg。平均而言,Pcrit从12.2 cmH₂O增加到23 cmH₂O。利用Pcrit和II的变化,我们估计白蛋白的微血管阻力反射系数(σd)为0.67。添加白蛋白后,Pc小于Pcrit时,沿相同的Qf与Pc关系诱导了恒定体重减轻。为了控制时间,对另外5个肺叶在恒定Pc下观察了100 - 180分钟。在它们体重增加30 - 40%后,体重增加速率略有加快。低Kf和高σd,以及标本的稳定性,表明微血管保存良好。在12至24 cmH₂O的Pc下,Qf不影响使用体重瞬变法测量Kf。低Pcrit可能反映了淋巴管的闭塞。

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