Gilbert R D, Genstler C C, Dale P S, Power G G
J Dev Physiol. 1981 Oct;3(5):283-95.
To estimate the importance of the liver as a fetal blood reservoir, we measured the compliance of the liver in eight near-term fetal sheep in utero. Balloon-tipped catheters were positioned above and below the entry of the hepatic veins into the inferior vena cava. Then the hepatic artery and portal vein were ligated and a flow probe placed around the common umbilical vein, the only remaining blood supply to the fetal liver. The balloons were inflated to block hepatic outflow momentarily while flow into the liver and pressure at the outflow of the liver were recorded continuously. Compliance was obtained from the pressure--volume curves and averaged 3.74 +/- 0.49 (SEM) ml/mmHg per 100 g of liver or 1.02 +/- 0.09 ml/mmHg per kg body weight. We were able to simulate these responses with a simple mathematical model of the hepatic circulation with constant compliance and pre- and post-sinusoidal resistances to blood flow. In a second group of none fetal sheep in utero whole body vascular compliance was estimated by measuring the venous pressure rise following the infusion of 60 ml of warm 5% (w/v) glucose in water during a 20 s interval. Whole body compliance averaged 3.66 +/- 0.37 ml/mmHg per kg body weight. Thus, the liver is responsible for about 28% of the whole body compliance on the fetal sheep and may function, therefore, as a significant blood reservoir.
为评估肝脏作为胎儿血库的重要性,我们在子宫内对8只近足月胎羊的肝脏顺应性进行了测量。将带气囊的导管置于肝静脉汇入下腔静脉入口的上方和下方。然后结扎肝动脉和门静脉,并在脐静脉周围放置流量探头,脐静脉是胎儿肝脏唯一剩余的血液供应来源。在持续记录流入肝脏的血流和肝脏流出压力的同时,将气囊充气以暂时阻断肝脏流出。根据压力-容积曲线得出顺应性,每100克肝脏平均为3.74±0.49(标准误)毫升/毫米汞柱,或每千克体重为1.02±0.09毫升/毫米汞柱。我们能够用一个简单的肝脏循环数学模型模拟这些反应,该模型具有恒定的顺应性以及窦前和窦后血流阻力。在第二组子宫内的非胎羊中,通过在20秒内输注60毫升温的5%(重量/体积)葡萄糖水溶液后测量静脉压升高来估计全身血管顺应性。全身顺应性平均为每千克体重3.66±0.37毫升/毫米汞柱。因此,肝脏在胎羊中约占全身顺应性的28%,因此可能起到重要血库的作用。