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局部外部压力短暂增加后前臂循环的早期变化。

Early changes in the forearm circulation following transient increase of local external pressure.

作者信息

Foley T H, Greenberg J L

出版信息

J Physiol. 1969 Jul;203(1):111-9. doi: 10.1113/jphysiol.1969.sp008853.

Abstract
  1. The pressure at the surface of a segment of forearm enclosed in a plethysmograph was abruptly raised from atmospheric level to +40 mm Hg, held at the new level for 4 sec, and abruptly dropped to atmospheric level.2. Forearm circumference (V(f)) equivalent to the volume of a small segment of forearm, was monitored with a mercury-in-rubber strain gauge. Pressure was measured in the cylinder (P(p)) in veins exposed to external compression (P(v, e)), and in the radial artery exposed to compression (P(ra)).3. Forearm blood flow was measured by venous occlusion plethysmography before, and after, release of external compression. There was, on average, over the 3rd and 4th second after release of pressure, a 2.4-fold increase of inflow, as compared with resting level.4. By the 15th second after release of compression, forearm blood flow had returned to its previous resting level.5. The increase in blood flow after compression appears to be due to active reduction in vascular resistance, for refilling of the arteries and arterioles would be completed before the increased flow was recorded; venous backflow can be excluded, and the pressure difference for flow (arterial minus venous) is virtually unchanged.
摘要
  1. 置于体积描记器中的前臂部分表面压力从大气水平突然升至+40毫米汞柱,在新水平保持4秒,然后突然降至大气水平。

  2. 用橡胶汞应变仪监测相当于一小段前臂体积的前臂周长(V(f))。在暴露于外部压迫的静脉中的圆柱体(P(p))以及暴露于压迫的桡动脉(P(ra))中测量压力。

  3. 在解除外部压迫之前和之后,通过静脉阻塞体积描记法测量前臂血流量。与静息水平相比,在压力解除后的第3秒和第4秒,平均流入量增加了2.4倍。

  4. 到压迫解除后第15秒,前臂血流量已恢复到先前的静息水平。

  5. 压迫后血流量的增加似乎是由于血管阻力的主动降低,因为在记录到血流量增加之前,动脉和小动脉的再充盈就已完成;可以排除静脉回流,并且血流的压力差(动脉减去静脉)实际上没有变化。

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