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[人体处于不同体位时四肢体液变化的动态研究]

[Dynamics of changes in the fluids of the extremities in man in different body positions].

作者信息

Panferova N E, Kabesheva T A

出版信息

Kosm Biol Aviakosm Med. 1987 Mar-Apr;21(2):40-5.

PMID:3586584
Abstract

Anthropometric measurements and occlusion venous plethysmography were used to investigate fluid inflow and outflow in the limbs of human subjects who kept normal motor activity for 4 hrs, remained in recumbency or were in the head-down position at an angle of -12 degrees and -22 degrees (to simulate effects of zero G). During these exposures diuresis, heart rate and blood pressure according to Korotkoff were also measured. In the horizontal and, to a greater extent, head-down position, when motor activity was diminished, volume blood flow velocity in the limbs decreased, i. e. blood inflow to them became smaller. Arm volume varied insignificantly since inflow and outflow were in balance whereas leg volume decreased because fluid outflow was larger than inflow. In the head-down position the tone of leg veins also declined. Thus the peripheral vascular bed developed a complex of mechanisms that were to prevent volume overload of the central bed. Fluid shifts from the legs to the central bed were made up for by the renal excretion of water in the horizontal and head-down (-12 degrees C) (-22 degrees) produced a stressful effect on compensatory mechanisms which manifested as a greater rise of diastolic pressure and bradycardia. The data obtained indicate an active involvement of the peripheral vascular bed in the adaptation to diminished motor activity in the horizontal and head-down position of human subjects.

摘要

采用人体测量学方法和肢体容积静脉血流描记术,对保持正常运动活动4小时、仰卧或处于-12度和-22度头低位(以模拟零重力效应)的人体受试者肢体的液体流入和流出情况进行了研究。在这些状态下,还测量了根据柯氏音测得的利尿、心率和血压。在水平位以及在更大程度上在头低位,当运动活动减少时,肢体的容积血流速度降低,即流入肢体的血液减少。由于流入和流出平衡,手臂容积变化不显著,而腿部容积减少,因为液体流出大于流入。在头低位时,腿部静脉张力也下降。因此,外周血管床形成了一套防止中心血管床容积过载的复杂机制。在水平位和头低位(-12摄氏度)(-22度)时,腿部向中心血管床的液体转移由肾脏排水来补充,这对代偿机制产生了应激效应,表现为舒张压进一步升高和心动过缓。所获得的数据表明,外周血管床积极参与了人体受试者在水平位和头低位时对运动活动减少的适应过程。

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