Althoff M, Acker H
Int J Microcirc Clin Exp. 1985;4(4):379-95.
To determine the importance of chemoreflex control for microcirculation, we investigated tissue pO2 and local flow on the surface of muscle, kidney, liver, and heart under systemic hypoxia and under isolated hypoxic perfusion of the carotid body in anaesthetized (pentobarbital) and artificially ventilated cats. Under systemic hypoxia, local blood flow mainly decreased in muscle and kidney, whereas liver and heart showed a flow distribution mainly with a flow decrease. Under systemic hypoxia, tissue pO2 decreased to values in the range of 0 to 10 Torr. A linear relationship was found between the pO2 change under hypoxia and the normoxic pO2 in the investigated organs, indicating local regulatory mechanisms of microcirculation. Isolated hypoxic perfusion of the carotid body caused a microflow increase in kidney in about 63%, in liver in about 55%, and in heart in all cases. Hypoxic perfusion of the carotid body caused pO2 increases in kidney and liver with mean pO2 values of 3 and 4 Torr, respectively, whereas, it produced no significant pO2 change in heart and muscle. The pO2 changes in kidney and liver significantly depended on the normoxic basic tissue pO2 level, indicating, in connection with local flow increases, a redistribution of local flow in these organs.
为了确定化学反射控制对微循环的重要性,我们在麻醉(戊巴比妥)并人工通气的猫身上,研究了全身缺氧以及颈动脉体单独缺氧灌注情况下,肌肉、肾脏、肝脏和心脏表面的组织氧分压和局部血流情况。在全身缺氧情况下,肌肉和肾脏的局部血流主要减少,而肝脏和心脏的血流分布主要是血流减少。在全身缺氧情况下,组织氧分压降至0至10托范围的值。在所研究的器官中,缺氧时氧分压的变化与常氧氧分压之间存在线性关系,表明存在微循环的局部调节机制。颈动脉体单独缺氧灌注使约63%的肾脏、约55%的肝脏出现微流量增加,心脏在所有情况下均出现微流量增加。颈动脉体缺氧灌注使肾脏和肝脏的氧分压升高,平均氧分压值分别为3托和4托,而在心脏和肌肉中未产生显著的氧分压变化。肾脏和肝脏中的氧分压变化显著取决于常氧基础组织氧分压水平,结合局部血流增加表明这些器官中局部血流发生了重新分布。