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饮用高渗盐水后人体小腿的跨毛细血管液体移动

Transcapillary fluid movement in human calf after drinking hypertonic saline.

作者信息

Matsubara I

出版信息

J Physiol. 1972 Mar;221(3):731-42. doi: 10.1113/jphysiol.1972.sp009779.

Abstract
  1. Transcapillary absorption of interstitial fluid was demonstrated with a pressure plethysmograph applied to the human calf after the ingestion of 200 ml. hypertonic (5.1%) saline. Capillary absorption began within 15 min after ingestion and lasted for about 2 hr. The maximum rate of absorption (0.019 ml./min. 100 ml. tissue) was attained 30-75 min after ingestion.2. The total amount of fluid absorbed into capillary blood vessels in the calf was 1.11 ml./100 ml. tissue. The amount of fluid thus absorbed in the whole body was estimated to be 677 ml.3. The capillary filtration coefficient (CFC) of the calf was also measured by the pressure plethysmograph. This was 0.0038 ml./min. mm Hg. 100 ml. tissue.4. The peak value of capillary absorption pressure was 5.2 mm Hg.5. The total osmotic pressure of the plasma rose by 12.6 m-osmole/kg H(2)O after ingestion. This rise was accompanied by transcapillary fluid absorption.6. The plasma protein concentration and packed cell volume were almost unchanged by ingestion, indicating that the plasma volume was unaltered.7. It was estimated that the net shift of fluid between intracellular and interstitial compartments during the period of transcapillary fluid absorption was very small.8. It is concluded that the volume of fluid moving from plasma into intestinal lumen is the same as that flowing from interstitial fluid into plasma, and that the transcapillary absorption is caused by a difference in osmotic pressure between the plasma and the interstitial fluid.
摘要
  1. 在摄入200毫升高渗(5.1%)盐水后,用压力体积描记器作用于人体小腿,证实了组织间液的跨毛细血管吸收。摄入后15分钟内开始出现毛细血管吸收,并持续约2小时。摄入后30 - 75分钟达到最大吸收速率(0.019毫升/分钟·100毫升组织)。

  2. 小腿毛细血管中吸收的液体总量为1.11毫升/100毫升组织。据此估计全身吸收的液体量为677毫升。

  3. 还用压力体积描记器测量了小腿的毛细血管滤过系数(CFC)。其值为0.0038毫升/分钟·毫米汞柱·100毫升组织。

  4. 毛细血管吸收压力的峰值为5.2毫米汞柱。

  5. 摄入后血浆的总渗透压升高了12.6毫渗摩尔/千克水。这种升高伴随着跨毛细血管的液体吸收。

  6. 摄入后血浆蛋白浓度和红细胞压积几乎未变,表明血浆容量未改变。

  7. 据估计,在跨毛细血管液体吸收期间,细胞内和组织间液之间的液体净转移非常小。

  8. 得出的结论是,从血浆进入肠腔的液体量与从组织间液进入血浆的液体量相同,并且跨毛细血管吸收是由血浆和组织间液之间的渗透压差异引起的。

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