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肺微血管中总血浆蛋白的渗透反射系数。

Osmotic reflection coefficient for total plasma protein in lung microvessels.

作者信息

Rippe B, Townsley M, Parker J C, Taylor A E

出版信息

J Appl Physiol (1985). 1985 Feb;58(2):436-42. doi: 10.1152/jappl.1985.58.2.436.

Abstract

The osmotic reflection coefficient (sigma) for total plasma proteins was estimated in 11 isolated blood-perfused canine lungs. Sigma's were determined by first measuring the capillary filtration coefficient (Kf,C in ml X min-1 X 100g-1 X cmH2O-1) using increased hydrostatic pressures and time 0 extrapolation of the slope of the weight gain curve. Kf,C averaged 0.19 +/- 0.05 (mean +/- SD) for 14 separate determinations in the 11 lungs. Following a Kf,C determination, the isogravimetric capillary pressure (Pc,i) was determined and averaged 9.9 +/- 0.5 cmH2O for all controls reported in this study. Then the blood colloids in the perfusate were either diluted or concentrated. The lung either gained or lost weight, respectively, and an initial slope of the weight gain curve (delta W/delta t)0 was estimated. The change in plasma protein colloid osmotic pressure (delta IIP) was measured using a membrane osmometer. The measured delta IIP was related to the effective colloid osmotic pressure (delta IIM) by delta IIM = (delta W/delta t)0/Kf,C = sigma delta IIP. Using this relationship, sigma averaged 0.65 +/- 0.06, and the least-squares linear regression equation relating Pc,i and the measured IIP was Pc,i = -3.1 + 0.67 IIP. The mean estimate of sigma (0.65) for total plasma proteins is similar to that reported for dog lung using lymphatic protein flux analyses, although lower than estimates made in skeletal muscle using the present methods (approximately 0.95).

摘要

在11个离体血液灌注的犬肺中估计了总血浆蛋白的渗透反射系数(σ)。通过首先使用增加的静水压力和体重增加曲线斜率的时间0外推法测量毛细血管滤过系数(Kf,C,单位为ml·min-1·100g-1·cmH2O-1)来确定σ。在11个肺中的14次单独测定中,Kf,C的平均值为0.19±0.05(平均值±标准差)。在测定Kf,C之后,测定等重毛细血管压力(Pc,i),本研究中报道的所有对照的平均值为9.9±0.5cmH2O。然后对灌注液中的血液胶体进行稀释或浓缩。肺分别增重或减重,并估计体重增加曲线的初始斜率(δW/δt)0。使用膜渗透压计测量血浆蛋白胶体渗透压的变化(δIIP)。测得的δIIP与有效胶体渗透压(δIIM)的关系为δIIM =(δW/δt)0/Kf,C = σδIIP。利用这种关系,σ的平均值为0.65±0.06,Pc,i与测得的IIP之间的最小二乘线性回归方程为Pc,i = -3.1 + 0.67IIP。总血浆蛋白的σ平均估计值(0.65)与使用淋巴蛋白通量分析报道的犬肺的值相似,尽管低于使用本方法在骨骼肌中得出的估计值(约0.95)。

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