Laine G A, Allen S J, Katz J, Gabel J C, Drake R E
Microvasc Res. 1987 Jan;33(1):135-42. doi: 10.1016/0026-2862(87)90012-4.
We previously reported that the very act of cannulating a lung lymph vessel could alter the unique flow characteristics that existed within the lymphatic before cannulation. We postulated that this phenomenon could hold true for lymphatics draining any organ within the body. Since it is frequently important to know the relationship between the transmicrovascular fluid flux and true lymph flow rate, it would be critical that a cannulated lymphatic vessel have the same flow characteristics as those uncannulated vessels draining the same organ. In order to test our hypothesis we cannulated lymph vessels draining the heart, liver, small intestine, kidney, and skeletal muscle. By altering the lymphatic outflow pressure (normally related to systemic venous pressure) and by using lymphatic cannulas of various resistance, we were able to demonstrate that lymph flow varied linearly with lymphatic outflow pressure in every organ. By increasing transmicrovascular fluid flux and lymph flow rate in each organ we were also able to demonstrate that effective resistance of the lymphatic vessels and the effective pressure driving lymph flow varied as a function of the physical characteristics of the organ under investigation. Characteristic effective resistances of the heart, liver, skeletal muscle, kidney, and small intestine lymphatics decreased by 83, 40, 61, 36, and 50%, respectively. Along with these changes in effective resistance, the effective lymph driving pressure in the same organs varied by 49, 0, 257, 0, and 63%, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)
我们之前报道过,对肺淋巴管进行插管这一行为本身就可能改变插管前淋巴管内存在的独特流动特性。我们推测,这种现象可能适用于引流体内任何器官的淋巴管。由于了解微血管间液体通量与真正的淋巴流速之间的关系通常很重要,所以至关重要的是,插管的淋巴管应具有与引流同一器官的未插管淋巴管相同的流动特性。为了验证我们的假设,我们对引流心脏、肝脏、小肠、肾脏和骨骼肌的淋巴管进行了插管。通过改变淋巴流出压力(通常与体静脉压力相关)并使用具有不同阻力的淋巴插管,我们能够证明在每个器官中淋巴流量与淋巴流出压力呈线性变化。通过增加每个器官中的微血管间液体通量和淋巴流速,我们还能够证明淋巴管的有效阻力以及驱动淋巴流动的有效压力会根据所研究器官的物理特性而变化。心脏、肝脏、骨骼肌、肾脏和小肠淋巴管的特征性有效阻力分别降低了83%、40%、61%、36%和50%。随着这些有效阻力的变化,相同器官中的有效淋巴驱动压力分别变化了49%、0%、257%、0%和63%。(摘要截选至250字)