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用同心圆法估算正常和肥厚大鼠心脏毛细血管间距的对数正态分布:其对组织氧合的影响。

Lognormal distribution of intercapillary distance in normal and hypertrophic rat heart as estimated by the method of concentric circles: its effect on tissue oxygenation.

作者信息

Turek Z, Rakuŝan K

出版信息

Pflugers Arch. 1981 Jul;391(1):17-21. doi: 10.1007/BF00580687.

Abstract

The inhomogeneity of the capillary net in the cardiac muscle was estimated using our morphometric measurements in normal and hypertrophic rats hearts. As entry data we used the distribution of tissue at different distances from the nearest capillary as measured by the method of concentric circles and the mean intercapillary distance independently calculated from the capillary density. The derived distribution of intercapillary distances was approximated by lognormal distribution in which the spread can be characterized by a single parameter, namely the log standard deviation. The effect of the log standard deviation on tissue oxygenation was evaluated in normal and hypertrophic hearts, at normoxia and at hypoxia. The mean tissue PO2 and the percentage of anoxic tissue at the venous end of the tissue cylinder were calculated using Krogh's model. Two boundary situations were considered: A) the end-capillary PO2 was assumed to be equal in all capillaries due to compensatory adjustment in blood flow; B) the same flow in all capillaries was assumed resulting in varying end-capillary PO2. The real situation is expected to be between situations A and B. Increased variability of intercapillary distance proved to impair considerably the tissue oxygenation, especially when the results were expressed as a percentage of anoxic tissue. The percentage of anoxic tissue turned out to be a better index of tissue oxygenation than the mean PO2 particularly at hypoxia. The results suggest the presence of at least a partial adjustment of blood flow with respect to the width of tissue cylinder. Without such adjustment, a large part of tissue would become anoxic already in normal hearts at normoxia and this would be further aggravated by hypertrophy and/or hypoxia.

摘要

利用我们对正常和肥厚大鼠心脏的形态测量法,评估心肌中毛细血管网的不均匀性。作为输入数据,我们采用同心圆法测量距最近毛细血管不同距离处的组织分布,并根据毛细血管密度独立计算平均毛细血管间距。所推导的毛细血管间距分布可用对数正态分布近似,其离散程度可用单个参数即对数标准差来表征。在常氧和低氧条件下,评估对数标准差对正常和肥厚心脏组织氧合的影响。使用克罗格模型计算组织圆柱体静脉端的平均组织PO2和缺氧组织百分比。考虑了两种边界情况:A)由于血流的代偿性调节,假定所有毛细血管的毛细血管末端PO2相等;B)假定所有毛细血管中的血流相同,导致毛细血管末端PO2不同。实际情况预计介于情况A和B之间。毛细血管间距变异性增加被证明会严重损害组织氧合,尤其是当结果以缺氧组织百分比表示时。缺氧组织百分比被证明是比平均PO2更好的组织氧合指标,尤其是在低氧时。结果表明,至少存在关于组织圆柱体宽度的血流部分调节。没有这种调节,在常氧条件下,正常心脏中的很大一部分组织就会缺氧,而肥大和/或低氧会使这种情况进一步恶化。

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