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流动血液中红细胞侧向迁移诱导的血小板近壁过量。

Near-wall excess of platelets induced by lateral migration of erythrocytes in flowing blood.

作者信息

Uijttewaal W S, Nijhof E J, Bronkhorst P J, Den Hartog E, Heethaar R M

机构信息

Department of Medical and Physiological Physics, University Hospital, University of Utrecht, The Netherlands.

出版信息

Am J Physiol. 1993 Apr;264(4 Pt 2):H1239-44. doi: 10.1152/ajpheart.1993.264.4.H1239.

Abstract

In this study we present experimental data on the inhomogeneous distribution of platelets in polyethylene tubes (200 microns diam) based on the inverse Fåhraeus effect for platelets. It is shown that platelets are expelled toward the red blood cell-depleted marginal layer near the tube wall by mutual interaction with erythrocytes. By means of a straightforward model, the near-wall concentration of platelets could be estimated from measurements on the average tubular platelet concentration. The marginal layer originates from the hydrodynamic interaction of the deformable erythrocytes with the tube wall. If the tube diameter is large compared with the size of the erythrocytes, the lateral migration effects can effectively be scaled on the absolute distance between the erythrocytes and the tube wall. This results in the main conclusion that the near-wall concentration of platelets is significantly enhanced up to about seven times the average concentration, practically irrespective of the tube diameter in the range of 100-500 microns. Where comparable, the results of this study are in accordance with experimental data of other authors.

摘要

在本研究中,我们基于血小板的逆法厄效应,给出了聚乙烯管(直径200微米)中血小板非均匀分布的实验数据。结果表明,血小板通过与红细胞的相互作用被驱向靠近管壁的红细胞减少的边缘层。通过一个简单的模型,可以根据对平均管状血小板浓度的测量来估算管壁附近血小板的浓度。边缘层源于可变形红细胞与管壁的流体动力学相互作用。如果管直径与红细胞大小相比很大,横向迁移效应可以有效地按红细胞与管壁之间的绝对距离进行缩放。这得出了主要结论,即管壁附近血小板的浓度显著提高,实际上是平均浓度的约七倍,几乎与100 - 500微米范围内的管直径无关。在可比较的情况下,本研究结果与其他作者的实验数据一致。

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