Lipowsky H H, Kovalcheck S, Zweifach B W
Circ Res. 1978 Nov;43(5):738-49. doi: 10.1161/01.res.43.5.738.
In vivo studies of the rheological behavior of blood in the microcirculation were conducted by direct in situ measurements in cat mesentery. Upstream to downstream pressure drops were measured in unbranched arterioles, capillaries, and venules, with diameters from 7 to 58 micrometer. Simultaneous measurements of red cell velocity and vessel geometry facilitated computation of bulk velocity, pressure gradient, apparent viscosity, wall shear stress, and resistance. Arteriovenous distributions of these parameters revealed the following. Maximum pressure gradient (0.015 cm H20/micrometer) occurs in the true capillaries (7 micrometer in diameter); intravascular wall shear stress averaged 47.1 dynes/cm2 in arterioles and 29.0 dynes/cm2 in venules. Extreme values as great as 200 dynes/cm2 were observed in a few shunting arterioles. Apparent viscosity averaged 3.59 cP in arterioles, 5.15 cP in venules, and 4.22 cP overall. Intravascular resistance per unit length of microvessel varied with luminal diameter as a power law function with exponents of -4.04 for arterioles, -3.94 for venules, and -3.99 for all vessels combined. This apparent maintenance of Poiseuille's law is attributed to the opposing processes of hematocrit reduction and decreasing shear rate as blood is dispersed in successive arteriolar segments, and the converse action of these processes in the venous confluences which lessen the extent of network variations in apparent viscosity. Reductions in bulk velocity from the normal flow state to below 0.5 mm/sec resulted in increases in apparent viscosity by a factor of 2 to 10, which are attributed primarily to obstruction of the lumen by leukocyte-endothelium adhesion.
通过对猫肠系膜进行直接原位测量,开展了关于微循环中血液流变行为的体内研究。在直径为7至58微米的无分支小动脉、毛细血管和小静脉中测量了上游至下游的压降。同时测量红细胞速度和血管几何形状有助于计算总体速度、压力梯度、表观粘度、壁面剪应力和阻力。这些参数的动静脉分布显示如下。最大压力梯度(0.015厘米水柱/微米)出现在真毛细血管(直径7微米)中;小动脉内血管壁剪应力平均为47.1达因/平方厘米,小静脉内为29.0达因/平方厘米。在一些分流小动脉中观察到高达200达因/平方厘米的极值。表观粘度在小动脉中平均为3.59厘泊,在小静脉中为5.15厘泊,总体平均为4.22厘泊。微血管单位长度的血管内阻力随管腔直径呈幂律函数变化,小动脉的指数为 -4.04,小静脉的指数为 -3.94,所有血管合并后的指数为 -3.99。泊肃叶定律的这种明显维持归因于随着血液在连续的小动脉段中分散,血细胞比容降低和剪切速率降低的相反过程,以及这些过程在静脉汇合处的相反作用,这减少了表观粘度的网络变化程度。从正常流动状态到低于0.5毫米/秒的总体速度降低导致表观粘度增加2至10倍,这主要归因于白细胞与内皮细胞的粘附导致管腔阻塞。