Bauduceau B, Chanudet X, Clement R, Celton H, Lafargue P, Larroque P
Service de médecine interne et pathologie cardiovasculaire, HIA Bégin, Saint-Mande.
J Mal Vasc. 1988;13(4):339-43.
Hemorheological constants (plasma viscosimetry and erythrocyte filtrability index) were studied in 153 male subjects aged 19 to 23. Borderline hypertension defined by clinical criteria was found in 61 of these patients. Whilst there was no notable modification in plasma viscosity, by contrast there was a significant link between erythrometry and systolic and diastolic blood pressure. Erythrocyte deformability was all the more marked as blood pressure rose. These results would contrast with findings in the literature in cases of definite hypertension. The borderline nature of hypertension and the youth of the population was such that it could be considered that barometric factors had not yet influenced erythrocyte filtrability. The following hypothesis is therefore attractive: initially the red cell adapts itself to any possible increase in peripheral resistance. As the years go by its deformability is lessened by adverse changes affecting its membrane cytoskeleton.
对153名年龄在19至23岁的男性受试者进行了血液流变学常数(血浆粘度测定和红细胞滤过指数)研究。根据临床标准,这些患者中有61人患有临界高血压。虽然血浆粘度没有明显变化,但相反,红细胞计数与收缩压和舒张压之间存在显著关联。随着血压升高,红细胞变形性愈发明显。这些结果与文献中明确高血压病例的研究结果形成对比。高血压的临界性质以及人群的年轻程度使得可以认为气压因素尚未影响红细胞滤过性。因此,以下假设颇具吸引力:最初红细胞会适应外周阻力的任何可能增加。随着时间推移,其膜细胞骨架受到的不利变化会使其变形性降低。