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核孔膜灌注中红细胞悬液的压力-流量关系及红细胞变形性

Pressure-flow relationship of erythrocyte suspension in perfusion of nuclepore membrane and red cell deformability.

作者信息

Uyesaka N

机构信息

1st Department of Physiology, Nippon Medical School, Tokyo, Japan.

出版信息

Jpn J Physiol. 1988;38(2):145-58. doi: 10.2170/jjphysiol.38.145.

Abstract

The hemodynamic characteristics of Nuclepore (NP) membrane filtration were evaluated from a pressure (P)-flow rate (Q) relationship of erythrocyte suspension obtained by the vertical-tube method (Nichol et al., 1951) with a slight modification. It became evident that the vertical-tube method was a more quantitative and simple method than the conventional steady flow perfusion method using a variable speed pump. The P-Q relationship of erythrocyte suspensions in the perfusion of NP membrane consisted of a smooth curve convex to the P-axis at low P tending to a straight line at high P. The extrapolated linear segments of P-Q curves of erythrocyte suspension did not converge to the same point on the negative Q-axis, that is, the value of the negative intercept increased as flow decreased. This observation indicated clearly an obstruction or plugging of the pores by erythrocytes. It was made clear that flow rate measured with NP membrane filtration was influenced not only by intrinsic red cell deformability but also by several different factors, namely, the different distribution of pore size of NP membrane, microdust contaminated inevitably in red cell suspension, total volume of cell suspension through NP membrane, stagnation or retention of erythrocyte suspension and the hematocrit value of suspension. In conclusion, the present study shows that the precise definition of deformability depends on the method or rheological conditions, such as hematocrit value of suspension, used to measure it, even if confined within NP membrane filtration.

摘要

采用垂直管法(Nichol等人,1951年)并略作修改,从红细胞悬液的压力(P)-流速(Q)关系评估了核孔(NP)膜过滤的血流动力学特征。结果表明,垂直管法比使用变速泵的传统稳流灌注法更具定量性且更简单。NP膜灌注中红细胞悬液的P-Q关系由一条在低P时向P轴凸出的平滑曲线组成,在高P时趋于直线。红细胞悬液P-Q曲线的外推线性段在负Q轴上并未汇聚到同一点,即负截距的值随流量降低而增加。这一观察结果清楚地表明红细胞对孔道造成了阻塞或堵塞。明确了用NP膜过滤测量的流速不仅受红细胞固有变形性的影响,还受几个不同因素的影响,即NP膜孔径的不同分布、红细胞悬液中不可避免地污染的微尘、通过NP膜的细胞悬液总体积、红细胞悬液的停滞或滞留以及悬液的血细胞比容值。总之,本研究表明,即使局限于NP膜过滤,变形性的精确定义也取决于用于测量它的方法或流变条件,如悬液的血细胞比容值。

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