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血流搏动性对肺血管跨壁液体滤过率的重要性。

The importance of flow pulsatility for the rate of transvascular fluid filtration in lungs.

作者信息

Hauge A, Nicolaysen G

出版信息

J Physiol. 1979 May;290(2):569-76. doi: 10.1113/jphysiol.1979.sp012790.

DOI:10.1113/jphysiol.1979.sp012790
PMID:469800
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1278854/
Abstract
  1. The rate of transvascular fluid filtration has been studied with a gravimetric technique in isolated perfused rabbit lungs during periods of elevated left atrial pressure (PLA). 2. Fluid filtration was expressed as the filtration coefficient, Kf (g/min x 100 g bloodless lung x mmHg PLA) and determined during alternately pulsatile and non-pulsatile perfusion in six zone III and three zone II/I lung preparations. Perfusion pattern was changed without interruption of flow. Mean in- and outflow pressures were kept constant. 3. In all the lungs it was found that Kf was higher during pulsatile than during non-pulsatile flow (P less than 0.01). Mean Kf (+/- S.E. of mean) for the zone III preparations was 0.42 (+/- 0.089) and 0.27 (+/- 0.057) for pulsatile and non-pulsatile perfusion, respectively. The corresponding figures for the zone II/I preparations were 0.11 (+/- 0.035) and 0.04 (+/- 0.030). 4. We suggest that the difference is due to a larger filtration area and/or a higher mean microvascular hydrostatic pressure during pulsatile than during non-pulsatile flow and not to a rise in hydraulic conductivity due to pressure pulsations ('stretched pores'). 5. When the water-exchange function of the lung is considered, flow pattern should be taken into account as an entity in its own right in addition to the steady state or the mean component of blood flow.
摘要
  1. 在左心房压力(PLA)升高期间,采用重量法在离体灌注兔肺中研究了跨血管液体滤过率。2. 液体滤过用滤过系数Kf(克/分钟×100克无血肺×PLA毫米汞柱)表示,并在六个III区和三个II/I区肺标本的交替搏动性和非搏动性灌注期间测定。灌注模式改变时血流不中断。平均流入和流出压力保持恒定。3. 在所有肺中发现,搏动性血流期间的Kf高于非搏动性血流期间(P<0.01)。III区标本搏动性灌注和非搏动性灌注的平均Kf(±平均标准误)分别为0.42(±0.089)和0.27(±0.057)。II/I区标本的相应数字为0.11(±0.035)和0.04(±0.030)。4. 我们认为,这种差异是由于搏动性血流期间的滤过面积较大和/或平均微血管静水压较高,而不是由于压力脉动(“拉伸孔”)导致水力传导率升高。5. 在考虑肺的水交换功能时,除了血流的稳态或平均成分外,血流模式本身也应作为一个独立的因素加以考虑。

相似文献

1
The importance of flow pulsatility for the rate of transvascular fluid filtration in lungs.血流搏动性对肺血管跨壁液体滤过率的重要性。
J Physiol. 1979 May;290(2):569-76. doi: 10.1113/jphysiol.1979.sp012790.
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本文引用的文献

1
DISTRIBUTION OF BLOOD FLOW IN ISOLATED LUNG; RELATION TO VASCULAR AND ALVEOLAR PRESSURES.离体肺脏的血流分布;与血管压力和肺泡压力的关系。
J Appl Physiol. 1964 Jul;19:713-24. doi: 10.1152/jappl.1964.19.4.713.
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The relation of pulsatile pressure and flow in the pulmonary vascular bed.肺血管床中搏动性压力与血流的关系。
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Capillary permeability to macromolecules.毛细血管对大分子的通透性。
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Transmission of pulsatile blood pressure and flow through the isolated lung.搏动性血压和血流通过离体肺的传导。
Circ Res. 1968 Jul;23(1):11-24. doi: 10.1161/01.res.23.1.11.
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The origin of the pulmonary densitometric pulse.肺密度脉搏的起源。
Br J Radiol. 1969 Nov;42(503):824-9. doi: 10.1259/0007-1285-42-503-824.
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Transvascular fluid balance in the lung.肺内的跨血管液体平衡。
J Physiol. 1969 Nov;205(1):1-18. doi: 10.1113/jphysiol.1969.sp008947.
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Pulmonary alveolar blood flow.肺泡血流
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Pulmonary edema.肺水肿
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Interrelations between pulmonary liquid volumes and lung compliance.肺液体容量与肺顺应性之间的相互关系。
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