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出血性低血压可诱发大鼠胰腺小动脉血管运动和间歇性毛细血管灌注。

Hemorrhagic hypotension induces arteriolar vasomotion and intermittent capillary perfusion in rat pancreas.

作者信息

Vollmar B, Preissler G, Menger M D

机构信息

Institute for Surgical Research, University of Munich, Germany.

出版信息

Am J Physiol. 1994 Nov;267(5 Pt 2):H1936-40. doi: 10.1152/ajpheart.1994.267.5.H1936.

Abstract

Hemorrhage-induced intermittent capillary perfusion and its relation to arteriolar vasomotion was studied in rat pancreatic acinar tissue using intravital fluorescence microscopy. During prehemorrhage conditions, microscopic analysis of the pancreatic microcirculation displayed neither arteriolar vasomotion nor intermittency of capillary perfusion (n = 22 animals). Hemorrhage-induced hypotension of 40 mmHg provoked arteriolar vasomotion in 18 of 22 animals and 59 of 115 arterioles studied. The maximum relative amplitude of arteriolar vasomotion was 44 +/- 8% (range 12-81%), and vasomotion frequency averaged 4.73 +/- 0.11 cycles/min. Hemorrhagic hypotension was further accompanied by 1) a decrease of functional capillary density [length of red blood cell-perfused capillaries per area of tissue under investigation (cm/cm2)] from 515 +/- 3 cm-1 at baseline to 386 +/- 3 cm-1 (P < 0.05) and 2) the instantaneous occurrence of intermittency of capillary perfusion in all observation areas (N = 220) of the 22 animals studied. The frequency of intermittency of capillary perfusion (4.72 +/- 0.14 cycles/min) did not differ from the frequency of arteriolar vasomotion, which implies a causal relationship between these two hemorrhage-induced microvascular mechanisms with the probable aim to counteract the decrease of functional capillary density.

摘要

利用活体荧光显微镜技术,在大鼠胰腺腺泡组织中研究了出血诱导的间歇性毛细血管灌注及其与小动脉血管运动的关系。在出血前状态下,对胰腺微循环的显微镜分析显示既无小动脉血管运动,也无毛细血管灌注的间歇性(n = 22只动物)。出血诱导的40 mmHg低血压在22只动物中的18只以及所研究的115条小动脉中的59条引发了小动脉血管运动。小动脉血管运动的最大相对幅度为44±8%(范围12 - 81%),血管运动频率平均为4.73±0.11次/分钟。出血性低血压还伴随着:1)功能性毛细血管密度[每单位被研究组织面积内红细胞灌注毛细血管的长度(cm/cm²)]从基线时的515±3 cm⁻¹降至386±3 cm⁻¹(P < 0.05);2)在所研究的22只动物的所有观察区域(N = 220)中毛细血管灌注立即出现间歇性。毛细血管灌注间歇性的频率(4.72±0.14次/分钟)与小动脉血管运动的频率无差异,这意味着这两种出血诱导的微血管机制之间存在因果关系,其可能目的是抵消功能性毛细血管密度的降低。

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