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在定时印度墨汁灌注期间骨骼肌微循环的充盈情况。

Filling of microcirculation in skeletal muscles during timed India ink perfusion.

作者信息

Renkin E M, Gray S D, Dodd L R

出版信息

Am J Physiol. 1981 Aug;241(2):H174-86. doi: 10.1152/ajpheart.1981.241.2.H174.

Abstract

Lower leg muscles of anesthetized rabbits were perfused in situ with heparinized India ink at flows and pressures comparable to normal resting levels of 4 ml.min-1.100 g-1). Paired cross sections were counterstained with eosin to show ink-containing microvessels and reacted for alkaline phosphate to show all vessels. The fraction of microvessels filled with ink (Fi) increased progressively with perfusion time. At 3.5 s, mean Fi for the muscles studied fell between 0.12 and 0.19. At 60-90 s, the following levels were reached: medial gastrocnemius 0.74, lateral gastrocnemius 0.76, tibialis anterior 0.59, and soleus 0.80. The number of open capillaries and their distribution of flow velocities can be inferred from such data only if the perfusion rate is known or by recourse to a specified anatomic model. The time course of ink appearance shows best agreement with 60-80% of the vessels open and accessible to ink, with microvascular transit times ranging from less than 3 to greater than 30 s. If microvascular path lengths are assumed to be uniform, the range of velocities must be four times to one-fourth the mean, with 15-30% of the microvessels perfused at velocities equal to or greater than the mean. Alternatively, if microvascular velocity is assumed uniform, flow path lengths must vary from one-fourth to four times the average. Anatomic measurements of other suggest that less than one-half the variability in ink transit is attributable to differences in microvascular length. Thus both length and velocity must vary among alternate arteriovenous pathways.

摘要

用肝素化的印度墨水对麻醉兔的小腿肌肉进行原位灌注,灌注流量和压力与正常静息水平相当(4 ml·min⁻¹·100 g⁻¹)。配对的横截面用伊红复染以显示含墨水的微血管,并进行碱性磷酸酶反应以显示所有血管。充满墨水的微血管比例(Fi)随灌注时间逐渐增加。在3.5秒时,所研究肌肉的平均Fi在0.12至0.19之间。在60 - 90秒时,达到以下水平:内侧腓肠肌0.74,外侧腓肠肌0.76,胫骨前肌0.59,比目鱼肌0.80。只有在已知灌注速率或借助特定解剖模型的情况下,才能从这些数据推断开放毛细血管的数量及其流速分布。墨水出现的时间进程与60 - 80%的血管开放且可被墨水进入的情况最为吻合,微血管通过时间范围从小于3秒到大于30秒。如果假设微血管路径长度是均匀的,速度范围必须是平均值的四倍到四分之一,15 - 30%的微血管以等于或大于平均值的速度灌注。或者,如果假设微血管速度是均匀的,流动路径长度必须从平均值的四分之一到四倍变化。对其他方面的解剖测量表明,墨水通过时间变化中不到一半可归因于微血管长度的差异。因此,在交替的动静脉路径中,长度和速度必然都有所不同。

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