Björnberg J, Grände P O, Maspers M, Mellander S
Department of Physiology and Biophysics, University of Lund, Sweden.
Acta Physiol Scand. 1988 Jun;133(2):199-210. doi: 10.1111/j.1748-1716.1988.tb08399.x.
An arterial and venous microcannulation technique was developed for circulatory studies in the cat gastrocnemius muscle which, based on detailed morphological and functional observations of the microvascular arrangement, seems to permit continuous recordings of pressure in arterioles (diameter approximately 25 microns) and capillary pressure. These variables in combination with measurements of arterial and venous pressure and blood flow provided a means of continuous simultaneous recordings of total as well as segmental resistances in defined sections of the vascular bed, viz. in large arterial vessels (diameter greater than 25 microns), arterioles (less than 25 microns), and on the venous side. This new technique was applied to a study of the site(s) of autoregulatory reactions along the vascular bed evoked by changes of arterial pressure over the range 50-150 mmHg. The results indicated that active autoregulation mainly occurred within arterioles smaller than about 25 microns. In larger arterial vessels concomitant moderate active smooth muscle adjustments barely balanced out the pressure-induced passive calibre changes, and the venous vessels did not seem to contribute actively to autoregulation, but exhibited a passive change in postcapillary resistance (Rven). The described pattern of response results in quite effective autoregulation of blood flow and capillary pressure (PC). The observed passive Rven change, via its effect on the pre- to postcapillary resistance ratio, seems to explain the fact that autoregulation of PC can be more efficient than flow autoregulation. The study also provided quantitative data for the level of active intrinsic vascular tone in defined consecutive sections of the muscle vascular bed at normal arterial pressure and for segmental redistributions of tone evoked by pressure alterations.
我们开发了一种动脉和静脉微插管技术,用于猫腓肠肌的循环研究。基于对微血管排列的详细形态学和功能观察,该技术似乎能够连续记录小动脉(直径约25微米)的压力和毛细血管压力。这些变量与动脉和静脉压力及血流量的测量相结合,提供了一种连续同步记录血管床特定节段(即大的动脉血管(直径大于25微米)、小动脉(小于25微米)以及静脉侧)总阻力和节段阻力的方法。这项新技术被应用于研究在50 - 150 mmHg范围内动脉压变化引起的沿血管床自动调节反应的部位。结果表明,主动自动调节主要发生在直径小于约25微米的小动脉内。在较大的动脉血管中,伴随的适度主动平滑肌调节几乎无法抵消压力引起的被动管径变化,并且静脉血管似乎并未对自动调节起到积极作用,而是表现出毛细血管后阻力(Rven)的被动变化。所描述的反应模式导致了对血流量和毛细血管压力(PC)相当有效的自动调节。观察到的被动Rven变化,通过其对毛细血管前与毛细血管后阻力比值的影响,似乎解释了PC的自动调节比血流量自动调节更有效的这一事实。该研究还提供了正常动脉压下肌肉血管床特定连续节段的主动内在血管张力水平以及压力改变引起的张力节段重新分布的定量数据。