正常狗肺动静脉:定性和定量结构差异。

R P Michel
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引用次数: 51

摘要

作为研究肺动脉高压和肺水肿的必要的前期步骤,我们对7只正常狗的肺血管结构进行了详细的检查,以区分动脉和静脉。光镜和形态学检查,左肺从动脉和静脉两侧注射不同颜色的色素明胶团。固定右肺,电镜观察。当血管直径大于200 μ m时,动脉内侧肌厚占比大于静脉内侧肌厚占比(P < 0.05)。平滑肌细胞向动脉(包括小于50微米的血管)的扩展比向静脉的扩展更多。较大的动脉为弹性型或过渡型,而较大的静脉为肌肉型。动脉与气道一起分支。50%的50微米以下的动脉和50%以上的200微米以下的静脉被肺泡包围。肌肉动脉在明显的内外弹性板之间有厚的介质,而静脉没有内板,但有薄的介质被外弹性板与厚的外膜隔开。电镜下,肌动脉平滑肌细胞紧密堆积,肌内皮细胞连接较少;静脉平滑肌细胞排列松散,肌内皮连接较多。在非肌肉性动脉和静脉之间没有明显的差异。这些形态学发现的功能意义(对药物的不同反应,肺动脉和肺静脉的扩张,以及小血管对肺泡压力的反应)进行了讨论。
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Arteries and veins of the normal dog lung: qualitative and quantitative structural differences.

As a necessary preliminary step to the study of pulmonary hypertension and edema, the structure of the pulmonary vasculature of seven normal dogs was examined in detail to distinguish arteries and veins. For light microscopy and morphometry, the left lung was injected from the arterial and venous sides with pigmented gelatin masses of different colors. The right lung was fixed for electron microscopy. The percentage of medial muscle thickness of arteries was greater (P less than 0.05) than that of veins, for vessels over 200 micrometer diameter. Smooth muscle cells extended more peripherally into arteries (including in vessels less than 50 micrometer) than into veins. The larger arteries were elastic or transitional in type, whereas larger veins were muscular. The arteries branched with the airways. Fifty percent of arteries under 50 micrometer and more than 50% of veins under 200 micrometer were surrounded by alveoli. Muscular arteries had a thick media between distinct internal and external elastic laminae, whereas veins had no internal lamina but had a thin media separated from a thick adventitia by an external elastic lamina. By electron microscopy, the muscular arteries had tightly packed smooth muscle cells with few myoendothelial junctions; the venous smooth muscle cells were arranged loosely, and more numerous myoendothelial junctions were seen. no definite differences were noted between nonmuscular arteries and veins. The functional implications of these morphological findings (differential reactions to pharmacological agents, distensibility of pulmonary arteries and veins, and responses of small vessels to alveolar pressure) are discussed.

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