LaForte A J, Lee L P, Rich G F, Skalak T C, Lee J S
Department of Biomedical Engineering, University of Virginia, Charlottesville 22908.
Am J Physiol. 1994 Jun;266(6 Pt 2):H2268-78. doi: 10.1152/ajpheart.1994.266.6.H2268.
We measured the variations in blood and plasma density for a cyclic hemorrhage protocol in conscious rabbits to calculate delta Vf [the volume of fluid restituted into the circulation from the time the blood volume was at its control to that after the hemorrhage of a blood volume (delta V)] and delta Vs (the volume shift from micro- to macrocirculation over the same time interval). We found that delta Vf is 7% of delta V and delta Vs 60% of delta V. They combine to reduce the effect of hemorrhage on macrovascular volume by 67% of delta V. Based on a two-resistor circulation model, the change in microcirculatory pressure (delta Pmic) from control to hemorrhage was estimated from the measured cardiac outputs and arterial and venous pressures. The computations indicate that delta Vs (or delta Vf) is linearly related to delta Pmic. With one relation fitting all data of rabbits that were conscious, infused with hexamethonium, and anesthetized with pentobarbital sodium, we concluded that the two short-term volume redistributions are not direct neural control or local regulation, but the response of a passive, permeable microcirculation to delta Pmic. From the linear relations, we obtained 0.88 ml.mmHg-1.kg-1 as the compliance of the rabbit microcirculation and 0.21 ml.min-1.mmHg-1.kg-1 as its filtration coefficient.
我们测量了清醒家兔在循环性出血方案下血液和血浆密度的变化,以计算ΔVf [从血容量处于对照水平到出血一定血容量(ΔV)后恢复到循环中的液体体积] 和ΔVs(在相同时间间隔内从微循环到宏循环的体积变化)。我们发现ΔVf为ΔV的7%,ΔVs为ΔV的60%。它们共同作用可使出血对大血管容量的影响减少ΔV的67%。基于双电阻循环模型,根据测得的心输出量以及动脉和静脉压力,估算了从对照到出血时微循环压力的变化(ΔPmic)。计算结果表明,ΔVs(或ΔVf)与ΔPmic呈线性相关。通过一个适用于清醒、注射六甲铵以及用戊巴比妥钠麻醉的家兔所有数据的关系式,我们得出结论:这两种短期体积再分布并非直接的神经控制或局部调节,而是被动、可渗透的微循环对ΔPmic的反应。根据这些线性关系,我们得出家兔微循环的顺应性为0.88 ml·mmHg⁻¹·kg⁻¹,其滤过系数为0.21 ml·min⁻¹·mmHg⁻¹·kg⁻¹。