Kuo L, Pittman R N
Department of Physiology, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298.
Am J Physiol. 1988 Feb;254(2 Pt 2):H331-9. doi: 10.1152/ajpheart.1988.254.2.H331.
Experiments were performed on the hamster cheek pouch retractor muscle to investigate the influence of isovolemic hemodilution on microcirculatory hemodynamics and the rate of oxygen transport to striated muscle. In 23 hamsters, measurements of red blood cell velocity, hematocrit, vessel diameter, segment length (L), hemoglobin oxygen saturation (SO2), and longitudinal SO2 gradient (delta SO2/L) were made in four branching orders of arterioles before and after isovolemic exchange with plasma. Hemodilution decreased systemic hematocrit from 52 to 33%. In first- through fourth-order arterioles, this degree of hemodilution resulted in an average decrease in microcirculatory hematocrit from 42 to 28% and average increases in red blood cell velocity, computed blood flow, and systemic arterial PO2 of 50, 30, and 10%, respectively. In addition, delta SO2/L was significantly smaller in second-, third-, and fourth order arterioles compared with control values. It was estimated that approximately 84% of the oxygen that diffused across the arteriolar network was transferred by diffusion to nearby venules and capillaries; the remaining oxygen was consumed by the surrounding tissue. Following hemodilution, the magnitude of diffusional transfer declined to 73%. Oxygen flow remained at its control level in the first-order arterioles and progressively increased above control with increasing branching order. The increased oxygen delivery to the capillary network after limited hemodilution can be attributed to a compensatory increase in blood flow, an increase in systemic arterial blood oxygenation, and a decrease in precapillary oxygen loss.
在仓鼠颊囊牵开肌上进行实验,以研究等容血液稀释对微循环血流动力学以及向横纹肌的氧运输速率的影响。在23只仓鼠中,在与血浆进行等容交换前后,对小动脉的四个分支级别的红细胞速度、血细胞比容、血管直径、节段长度(L)、血红蛋白氧饱和度(SO2)和纵向SO2梯度(δSO2/L)进行了测量。血液稀释使全身血细胞比容从52%降至33%。在一级至四级小动脉中,这种程度的血液稀释导致微循环血细胞比容平均从42%降至28%,红细胞速度、计算得出的血流量和全身动脉血氧分压分别平均增加50%、30%和10%。此外,与对照值相比,二级、三级和四级小动脉中的δSO2/L明显更小。据估计,扩散穿过小动脉网络的氧气中约84%通过扩散转移到附近的小静脉和毛细血管;其余的氧气被周围组织消耗。血液稀释后,扩散转移的幅度降至73%。在一级小动脉中氧流量保持在对照水平,并随着分支级别增加而逐渐高于对照水平增加。有限血液稀释后向毛细血管网络增加的氧输送可归因于血流的代偿性增加、全身动脉血液氧合的增加以及毛细血管前氧损失的减少。