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清醒犬头部露出水面的水中浸泡期间血浆容量的变化。

Plasma volume changes during head-out water immersion in conscious dogs.

作者信息

Miki K, Hajduczok G, Hong S K, Krasney J A

出版信息

Am J Physiol. 1986 Sep;251(3 Pt 2):R582-90. doi: 10.1152/ajpregu.1986.251.3.R582.

Abstract

Blood volume (51Cr-erythrocyte dilution method), hematocrit, and arterial (Pa), central venous (Pv), plasma colloid osmotic (IIpl), and interstitial fluid hydrostatic (Pcps, Guyton's capsule method) pressures were measured continuously to determine the kinetics of the transvascular fluid shift during 100 min of water immersion (WI) at 37 degrees C in six splenectomized dogs. Urine flow increased by 180% above control levels (P less than 0.05) by 30 min of WI. Plasma volume (PV) started to increase at 5 min of WI and rose by 7.2% (P less than 0.05) above control levels by 35 min of WI, and then it decreased gradually. PV returned to control levels immediately after WI. Plasma protein concentration and IIpl decreased significantly by 0.2 g/100 ml and 1.2 mmHg, respectively, at 35 min of WI, while plasma osmolality and Na+ concentration were constant. Pa and Pv increased (P less than 0.05) by 25 and 12 mmHg, respectively. Mean capillary pressure, which was calculated from Pa, Pv, and an estimated pre-to-postcapillary resistance ratio of 5-12, increased by 13-14 mmHg while Pcps increased (P less than 0.05) by 17 and 26 mmHg at upper hindlimb and lower forelimb, respectively. The changes in mean capillary pressure and IIpl tend to promote capillary filtration in WI; however, the greater elevation of Pcps more than offsets these forces and leads to a net transvascular shift into the plasma compartment.

摘要

采用51铬红细胞稀释法测定血容量、血细胞比容,并连续测量动脉压(Pa)、中心静脉压(Pv)、血浆胶体渗透压(IIpl)和组织液静水压(Pcps,盖顿囊法),以确定6只脾切除犬在37℃下进行100分钟水浸(WI)期间跨血管液体转移的动力学。水浸30分钟时,尿流量比对照水平增加了180%(P<0.05)。水浸5分钟时血浆容量(PV)开始增加,水浸35分钟时比对照水平升高了7.2%(P<0.05),然后逐渐下降。水浸结束后PV立即恢复到对照水平。水浸35分钟时,血浆蛋白浓度和IIpl分别显著下降0.2g/100ml和1.2mmHg,而血浆渗透压和Na+浓度保持恒定。Pa和Pv分别升高25mmHg和12mmHg(P<0.05)。根据Pa、Pv以及估计的毛细血管前与毛细血管后阻力比5-12计算得出的平均毛细血管压升高了13-14mmHg,而上后肢和下前肢的Pcps分别升高了17mmHg和26mmHg(P<0.05)。平均毛细血管压和IIpl的变化倾向于促进水浸时的毛细血管滤过;然而,Pcps的更大升高超过了这些力量,导致净跨血管转移进入血浆腔室。

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