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一名受试者在地面和太空环境下,下体负压对血液和血浆成分的影响。

Changes in blood and plasma composition with lower body negative pressure on the ground and in space in one subject.

作者信息

Hinghofer-Szalkay H G, Noskov V B, Schmied J, Röhrer R, Viehböck F, König E M, Sauseng-Fellegger G, Zambo-Polz C, Heimel H, Grigoriev A I

机构信息

Dept. Physiol., Sch. Med., Univ. Graz, Austria.

出版信息

Aviat Space Environ Med. 1994 Mar;65(3):214-9.

PMID:8185550
Abstract

In one cosmonaut, we investigated lower body negative pressure (LBNP)-induced capillary fluid shifts which we hypothesized would be changed by microgravity (micrograms) adaptation. Sound pulse velocity (SV) was determined in whole blood and plasma samples, using a new method that could detect 0.1% protein concentration changes. Experiments were performed 3 months preflight (supine), during space flight (6th day in orbit), and postflight (supine; 4th day after landing). Antecubital blood was taken at the beginning (3 min: time a) and after shut-down (+2 min: time b) of 40 min LBNP (-15/-30/-35 mm Hg for 15/15/10 min, respectively), since in control experiments with multiple sampling on Earth, the largest difference (increase) between blood and plasma SV was observed between a and b. Our cosmonaut had a 1.6 m/s increase in blood sound pulse velocity (BSV) preflight and a 4.0 m/s increase postflight, whereas BSV stayed unchanged in flight. Plasma sound pulse velocity (PSV) increased 1.2 m/s preflight and 1.7 m/s postflight, whereas PSV did not rise (-0.4 m/s) in flight. This would indicate profoundly altered LBNP-induced fluid dynamics in flight, compared to control (1-g) conditions. On the 4th day postflight, blood and plasma sound velocity increased more with LBNP than preflight, indicating greater hemoconcentration than under control conditions. In summary, the data suggest: 1) altered fluid shifts between blood and interstitial compartments during LBNP with 6 d adaptation to microgravity; and 2) increased hemoconcentration during LBNP early after a 10-d spaceflight.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在一名宇航员身上,我们研究了下体负压(LBNP)诱导的毛细血管液体转移,我们假设这种转移会因微重力适应而改变。使用一种能够检测0.1%蛋白质浓度变化的新方法,测定全血和血浆样本中的声脉冲速度(SV)。在飞行前3个月(仰卧位)、太空飞行期间(轨道上第6天)和飞行后(仰卧位;着陆后第4天)进行实验。在40分钟LBNP(分别为-15/-30/-35毫米汞柱,持续15/15/10分钟)开始时(3分钟:时间a)和关闭后(+2分钟:时间b)采集肘前静脉血,因为在地球上进行的多次采样对照实验中,在a和b之间观察到血液和血浆SV之间的最大差异(增加)。我们的宇航员在飞行前血液声脉冲速度(BSV)增加了1.6米/秒,飞行后增加了4.0米/秒,而BSV在飞行中保持不变。血浆声脉冲速度(PSV)在飞行前增加了1.2米/秒,飞行后增加了1.7米/秒,而PSV在飞行中没有上升(-0.4米/秒)。这表明与对照(1g)条件相比,飞行中LBNP诱导的流体动力学发生了深刻改变。在飞行后第4天,LBNP作用下血液和血浆声速的增加比飞行前更多,表明血液浓缩程度比对照条件下更高。总之,数据表明:1)在适应微重力6天后,LBNP期间血液和间质腔之间的液体转移发生改变;2)在10天太空飞行后早期,LBNP期间血液浓缩增加。(摘要截断于250字)

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