Murayama F
Department of Thoracic and Cardiovascular Surgery, Jichi Medical School, Tochigi, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1993 Jun;31(6):725-32.
The contact time between red blood cells and alveolar air is one of the most important factors affecting red blood cell oxygenation in the lungs. Many methods have been presented for contact time measurement, however, no work, evaluating it by tracing red blood cell movement through the pulmonary capillary network has been reported. In this study, the contact time was measured by tracing red blood cells, stained with fluorescein isothiocyanate (FITC-RBC), with a fluorescent microscope in living rat lung. It was assumed that the transit time of red blood cells through the pulmonary capillary network was equivalent to the contact time. The flow patterns of red blood cells were complicated, namely, FITC-RBC discharged from one arteriole flowed into several venules through many routes in the pulmonary capillary network, and those ejected from several arterioles pored into one venule. Furthermore, the FITC-RBC flow rate changed many times in the pulmonary capillary network. The contact time varied from 0 to 1.2 seconds. The measurement was performed in each classified route by the straight distance between arteriole and venule, in order to simplify the various capillary networks. The results revealed that the contact time was 0.3, 0.4, 0.5, 0.7, 0.7 and 0.7 seconds on the average respectively in the routes of 101--150, 151--200, 201--250, 251--300 and 301--350 microns straight distance. The frequencies of the above distance routes were 5, 8, 15, 23, 26 and 21%, respectively. As a result, the total lung contact time calculated using these frequencies was 0.7 +/- 0.2 seconds (mean +/- standard deviation) on average.
红细胞与肺泡气的接触时间是影响肺部红细胞氧合的最重要因素之一。目前已经提出了许多测量接触时间的方法,然而,尚未有通过追踪红细胞在肺毛细血管网络中的运动来评估接触时间的相关研究报道。在本研究中,通过在活体大鼠肺中使用荧光显微镜追踪用异硫氰酸荧光素染色的红细胞(FITC-RBC)来测量接触时间。假定红细胞通过肺毛细血管网络的转运时间等同于接触时间。红细胞的流动模式较为复杂,即从一条小动脉排出的FITC-RBC通过肺毛细血管网络中的多条路径流入几条小静脉,而从几条小动脉排出的FITC-RBC则汇入一条小静脉。此外,FITC-RBC在肺毛细血管网络中的流速多次变化。接触时间在0到1.2秒之间变化。为了简化各种毛细血管网络,按小动脉和小静脉之间的直线距离在每条分类路径中进行测量。结果显示,在直线距离为101 - 150、151 - 200、201 - 250、251 - 300和301 - 350微米的路径中,接触时间平均分别为0.3、0.4、0.5、0.7、0.7和0.7秒。上述距离路径的出现频率分别为5%、8%、15%、23%、26%和21%。因此,使用这些频率计算出的全肺平均接触时间为0.7±0.2秒(平均值±标准差)。