Gustafsson L, Appelgren L, Myrvold H E
Circ Res. 1981 Apr;48(4):465-9. doi: 10.1161/01.res.48.4.465.
We studied the effect of high and low molecular weight dextran on blood flow and in vivo apparent viscosity in the vasodilated vascular bed of working and non-working skeletal muscle. In 12 mongrel dogs, the calf muscle of one hindlimb was isolated. Vasodilation was induced either by sciatic stimulation setting the muscle at rhythmic work or by intraarterial infusion of papaverine. Blood flow was measured electromagnetically at different perfusion pressures. In vivo apparent viscosity was calculated by comparing pressure-flow relationship for blood and a reference solution. Viscosity in vitro was determined in a cone-plate viscometer. A hyperviscous state was induced by intravenous infusion of high molecular weight dextran (HMWD). Hemodilution subsequently was produced by administration of low molecular weight dextran (LMWD). After HMWD, blood flow decreased to 30% of control values in the non-working group and to 45% of control values in the working group. After subsequent infusion of LMWD, blood flow returned to 60% of control values in the non-working group and to 70% of control values in the working group. In vivo apparent viscosity increased to values 250% above control in the non-working group and to 120% above control in the working group following HMWD. After subsequent infusion of LMWD in vivo, apparent viscosity decreased, but remained at values 65% above control in the non-working group and 45% above control in the working group. Thus, the flow impairment induced by HMWD was less pronounced in the working muscle, indicating a flow-preserving effect of rhythmic muscle contractions in this state of disturbed blood rheology. In contrast, the flow-improving effect of LMWD by hemodilution was more pronounced in the non-working muscle.
我们研究了高分子量和低分子量右旋糖酐对工作和非工作状态下骨骼肌血管舒张床中血流及体内表观粘度的影响。在12只杂种犬中,分离出一侧后肢的小腿肌肉。通过坐骨神经刺激使肌肉进行节律性工作或动脉内输注罂粟碱来诱导血管舒张。在不同灌注压力下用电磁法测量血流。通过比较血液和参比溶液的压力-流量关系来计算体内表观粘度。体外粘度在锥板式粘度计中测定。通过静脉输注高分子量右旋糖酐(HMWD)诱导高粘状态。随后给予低分子量右旋糖酐(LMWD)进行血液稀释。输注HMWD后,非工作组的血流降至对照值的30%,工作组降至对照值的45%。随后输注LMWD后,非工作组的血流恢复至对照值的60%,工作组恢复至对照值的70%。输注HMWD后,非工作组的体内表观粘度增加至比对照值高250%,工作组增加至比对照值高120%。随后在体内输注LMWD后,表观粘度降低,但非工作组仍比对照值高65%,工作组比对照值高45%。因此,HMWD诱导的血流损害在工作肌肉中不太明显,表明在这种血液流变学紊乱状态下,节律性肌肉收缩具有保流作用。相反,LMWD通过血液稀释改善血流的作用在非工作肌肉中更明显。