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骨骼肌中灌注毛细血管数量变化的控制机制及部位

Mechanisms and site of control for variation in the number of perfused capillaries in skeletal muscle.

作者信息

Lindbom L, Arfors K E

出版信息

Int J Microcirc Clin Exp. 1985;4(1):19-30.

PMID:3988454
Abstract

The number of perfused capillaries and their spatial distribution at various levels of vascular tone were examined by intravital microscopy in the rabbit tenuissimus muscle. An increase in oxygen availability (ambient pO2 raised) reduced the density of perfused capillaries in proportion to the pO2 increase. This was attributed to a graded increase in resistance in all terminal arterioles rather than to total closure of some of them. Reduction of perfusion pressure by gradual occlusion of the abdominal aorta resulted in a gradual decrease in the number of perfused capillaries in the pressure range below 50 mm Hg, despite a concomitant increase in terminal arteriolar diameters. Within a group of capillaries supplied by the same terminal arteriole, the perfusion response to changes in hindlimb arterial pressure in a passive vasodilated bed was similar to the response to active changes in arteriolar diameter, as induced by variations in ambient pO2. The data suggest the presence of a yield shear stress within the capillaries that has to be overcome by the perfusion pressure for flow to occur, and in accordance, that the number of perfused capillaries is a function of the pressure gradient over the capillary bed, actively determined by the resistance in the arteriolar section. Graded variations in this resistance will lead to graded changes in the density of perfused capillaries, implying that all-or-none behaviour of the terminal arterioles is not necessary for such variations to occur.

摘要

通过活体显微镜检查法,在兔薄肌中研究了不同血管张力水平下灌注毛细血管的数量及其空间分布。氧供应增加(环境氧分压升高)会使灌注毛细血管密度按氧分压升高的比例降低。这归因于所有终末小动脉阻力的分级增加,而非部分终末小动脉完全关闭。通过逐渐阻断腹主动脉来降低灌注压力,尽管终末小动脉直径同时增加,但在低于50 mmHg的压力范围内,灌注毛细血管数量仍会逐渐减少。在由同一终末小动脉供血的一组毛细血管中,被动血管舒张床中后肢动脉压力变化引起的灌注反应,类似于环境氧分压变化诱导的小动脉直径主动变化所引起的反应。数据表明,毛细血管内存在屈服切应力,灌注压力必须克服该切应力才能实现血流,相应地,灌注毛细血管数量是毛细血管床压力梯度的函数,该压力梯度由小动脉段的阻力主动决定。这种阻力的分级变化将导致灌注毛细血管密度的分级变化,这意味着终末小动脉的全或无行为并非此类变化发生的必要条件。

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