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可扩散示踪剂和碳化微球在离体犬心脏左心室中的区域分布。

Regional distribution of diffusible tracers and carbonized microspheres in the left ventricle of isolated dog hearts.

作者信息

Yipintsoi T, Dobbs W A, Scanlon P D, Knopp T J, Bassingthwaighte J B

出版信息

Circ Res. 1973 Nov;33(5):573-87. doi: 10.1161/01.res.33.5.573.

Abstract

Microspheres of different sizes, I-labeled antipyrine (I-Ap), and KCl or RbCl were injected into the aortic inflow of isolated, Langendorff, perfused, nonworking dogs hearts at blood flows of 1.3–4.8 ml/min g. After 15 seconds to 5 minutes, the left ventricle was sectioned into about 300 ordered pieces, and the amount of each tracer was determined. For all tracers, the relative density of deposition was generally higher in the endocardial region, except in one heart in which the aortic pressure and the total coronary flow were low. The deposition of K and that of I-Ap were essentially similar in three hearts over a large range of regional variation. This finding suggests either that both tracers were distributed in proportion to flow or that a small diminution in relative density of deposition of K in high-flow regions due to lower transcapillary extraction was quantitatively similar to a decrease in the residual fraction of I-Ap in these same regions due to faster washout in the first 15–30 seconds after injection. Large microspheres were deposited preferentially in regions of high flow, exaggerating the apparent heterogeneity of regional flows. The distribution of the smaller microspheres was closer to that for I-Ap or K.

摘要

将不同大小的微球、碘标记的安替比林(I-Ap)以及氯化钾或氯化铷,在血流速度为1.3 - 4.8毫升/分钟·克的条件下,注入离体的、采用Langendorff装置灌注的、无负荷工作的犬心脏的主动脉流入端。15秒至5分钟后,将左心室切成约300个有序的小块,并测定每种示踪剂的含量。对于所有示踪剂,除了一个主动脉压力和总冠状动脉血流量较低的心脏外,心内膜区域的沉积相对密度通常较高。在三个心脏中,在较大范围的区域变化内,钾和I-Ap的沉积基本相似。这一发现表明,要么两种示踪剂都是按血流比例分布,要么是由于跨毛细血管提取率较低,高血流区域钾的沉积相对密度的小幅降低在数量上与这些相同区域I-Ap在注射后最初15 - 30秒内由于更快洗脱导致的残留分数降低相似。大微球优先沉积在高血流区域,夸大了区域血流的明显异质性。较小微球的分布更接近I-Ap或钾的分布。

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