Aziz O, Mösinger H J
Institut für Angewandte Physiologie der Philipps-Universität Marburg.
Z Gastroenterol. 1987 Sep;25(9):599-606.
In rats weighting 230-280 g, the resistance, the protein, and the electrolyte concentration of portal vein blood were measured continuously. At constant electrolyte concentration (Cel) resistance was a true measure of hematocrit. Protein concentration (Cprot) was monitored refractometrically in a continuous stream of filtered plasma. The changes brought about by intraduodenal and intragastric injections of water were studied. For comparison, equal amounts (0.5-1% of body weight) of isotonic NaCl were instilled intraduodenally. Water led in all experiments to an immediate and steep but variable drop of Cel within a minute without an accompanying drop of Cprot. The drop of Cprot was delayed by 1.4-2.6 min. The delay was even greater when a small increase of Cprot by 65 mg/dl took place. No such delay occurred when saline was given. After this initial phase, the course of Cprot and hct curves was identical for both fluids. Using these two parameters as independent indicators of volume, similar values for blood volume increase were calculated from their final change. The result suggests that in the gut, osmotic equilibration has priority over fluid transport.
在体重为230 - 280克的大鼠中,连续测量门静脉血的阻力、蛋白质和电解质浓度。在恒定电解质浓度(Cel)下,阻力是血细胞比容的真实指标。蛋白质浓度(Cprot)通过折射法在连续过滤的血浆流中进行监测。研究了十二指肠内和胃内注射水所引起的变化。为作比较,将等量(体重的0.5 - 1%)的等渗氯化钠十二指肠内滴注。在所有实验中,水在一分钟内导致Cel立即急剧但可变地下降,而Cprot没有随之下降。Cprot的下降延迟了1.4 - 2.6分钟。当Cprot小幅增加65毫克/分升时,延迟甚至更大。给予盐水时未出现这种延迟。在这个初始阶段之后,两种液体的Cprot和血细胞比容曲线进程相同。使用这两个参数作为容量的独立指标,根据它们的最终变化计算出血液容量增加的相似值。结果表明,在肠道中,渗透平衡优先于液体运输。