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1 Department of Physiology, Northeastern Ohio Universities College of Medicine, Rootstown, Ohio 44272-0095; and 2 Department of Medicine, University of California, San Diego, La Jolla, California 92093-0623
To determine the
correlation between ultrastructural and physiological changes in
blood-gas barrier function in lungs transiently exposed to very high
vascular pressures, we increased capillary transmural pressure (Ptm) of
6 canine isolated perfused left lower lung lobe preparations
(high-pressure group) to 80.3 Torr for 3.8 min and then determined the
capillary filtration (Kfc) and osmotic
reflection (
d) coefficients at a Ptm of 19.1 Torr in the
ventilated lung lobes. This was followed by perfusion fixation of the
lobes at a Ptm of 20.5 Torr for ultrastructural analysis. These data
were compared with those obtained in six lobes in which Ptm was not
transiently elevated before Kfc,
d, and ultrastructural evaluation.
Kfc was higher [0.249 ± 0.042 (SE) vs.
0.054 ± 0.009 g · min
1 · Torr
1 · 100 g
1; P < 0.01] and
d was
lower (0.52 ± 0.07 vs. 0.85 ± 0.08; P < 0.01) in the high-pressure group. In contrast, although endothelial and
epithelial breaks were occasionally observed in some experiments, their
incidence was not increased in the high-pressure group. These data
suggest that the increased transvascular water and protein flux
occurred through pathways of a size not resolvable by electron
microscopy after vascular perfusion-fixation at a Ptm of 20.5 Torr.
blood-gas barrier; capillary wall stress; increased permeability edema; capillary filtration coefficient; osmotic reflection coefficient; barotrauma
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