Mechanism of the Decreased Capillary Resistance Following Plasma Expander Infusion

Author(s):  
V. G. Behrmann
Author(s):  
Gy. Boros ◽  
J. Sámik ◽  
Ljubov Gofman ◽  
Judit Nagv ◽  
Gy. Deák ◽  
...  

Blood coagulation, thrombocyte function and capillary resistance were studied in 21 adult patients with Schoenlein-Henoch’s syndrome. 20 different tests were carried out at different stages of the disease. In 2 cases skin, in 1 mesocolon and in 10 kidneys were examined histologicaly (light microscopy, immunofluorescence, electron microscopy).Capillary permeability was increased at least once in every patient. All patients but 2 were characterized by hypercoagulability. In addition to thrombotic changes, an increase in labile fibrinogen was detected in the serum of 12 patients, and thrombin time was prolonged in 11 patients on 31 occasions. Plasma fibrinolytic activity was increased in 11 patients. Fibrin deposition was demonstrable in the skin of 2 in the mesocolon of 1 and in the kidneys of 7 patients.It is suggested that besides the capillaropathy a coagulation defect, resembling consumption coagulopathy is a characteristic of Schoenlein-Henoch’s syndrome.


1957 ◽  
Vol 188 (2) ◽  
pp. 387-394 ◽  
Author(s):  
Jenö Kramár ◽  
William V. Meyers ◽  
Harry H. McCarthy ◽  
Nicholas Dietz ◽  
Margarete Simay-Kramár ◽  
...  

Two possibilities may be considered for the mechanism of the immediate capillary stress response: the direct nervous origin, and the humoral. The latter was investigated in this study. Immediate capillary stress response was found in the absence of the adrenal, pituitary or thyroid glands, and after removal of both the adrenals and the pituitary. Among the 10 physiologic substances considered as playing a potential role in this phenomenon, three were found to possess capillary activity. Vasopressin as well as oxytocin increases capillary resistance. Histamine gives rise to a biphasic response, involving a decrease of capillary resistance (primary effect) followed by an increase (due to vasopressin elicited by histamine). By means of these substances it is possible to duplicate the immediate capillary stress response. During the immediate capillary response plasma has antidiuretic and chloruretic properties—a finding compatible with an increased vasopressin concentration and with the assumption that vasopressin is discharged rather regularly in the first phase of the stress response. The immediate capillary stress response seems to be the result of an interplay between vasopressin-oxytocin, and histamine. Species and individual differences in the sensitivity to these substances may account for the various patterns of the capillary response. The possible significance of the immediate capillary response and of the increased vasopressin activity in some clinical conditions is discussed.


1986 ◽  
Vol 61 (1) ◽  
pp. 331-337 ◽  
Author(s):  
A. W. Smits ◽  
N. H. West ◽  
W. W. Burggren

Pulmonary hemodynamics and net transcapillary fluid flux (NTFF) were measured in conscious toads before and following bilateral denervation of the recurrent laryngeal nerves (rLN), which contain afferents from baroreceptors located in the pulmocutaneous arteries. Denervation caused an acute doubling of the arterial-venous pressure gradient across the lung and a threefold increase in pulmonary blood flow. Calculated pulmonary vascular resistance fell and remained below control values through the period of experimentation. NTFF increased by an order of magnitude (0.74–7.77 ml X kg-1 X min-1), as filtration increased in response to the hemodynamic changes caused by rLN denervation. There was a better correlation between NTFF and pulmonary blood flow than between NTFF and pulmonary driving pressure. Our results support the view that tonic neural input from pulmocutaneous baroreceptors protects the anuran lung from edema by restraining pulmonary driving pressure and blood flow and perhaps by reflexly maintaining vascular tone in the extrinsic pulmonary artery, therefore tending to increase the pre-to-postpulmonary capillary resistance ratio and biasing the Starling relationship in the pulmonary capillaries against filtration.


1967 ◽  
Vol 126 (6) ◽  
pp. 1127-1142 ◽  
Author(s):  
S. Frederick Rabiner ◽  
J. Raymond Helbert ◽  
Harry Lopas ◽  
Lila H. Friedman

The preparation of large quantities of a stable, stroma-free hemoglobin solution without coagulant activity is described. Following infusion of this solution into phlebotomized dogs, there is no methemoglobin formation, no adverse effects on vital signs, and no demonstrable activation of blood coagulation. The hemoglobin maintains its oxygen-carrying capacity and liberates oxygen into tissues. Acute and chronic effects on renal function following infusion of this preparation were also studied and no effect on clearance of urea, creatinine, or P.A.H. could be demonstrated. There was no change in urinary output and histological sections revealed no lesions attributable to hemoglobin toxicity. It is concluded that a stroma-free hemoglobin solution may have use as a plasma expander.


1982 ◽  
Vol 96 (1) ◽  
pp. 195-208
Author(s):  
P. S. Davie

1. Vascular volume changes in an isolated saline-perfused eel tail preparation in response to catecholamines were small (less than 2%) and are explicable in terms of changes in volume of pre-capillary resistance vessels. 2. Extravascular-extracellular (interstitial) volume increased less than 3% during infusion of adrenaline (AD) at concentrations of 1 × 10(−6) to 1 × 10(−3) M. Injection of doses of AD and noradrenaline (NA) between 1 nmol and 100 nmol caused maximum interstitial volume changes of less than 11%. 3. Isoprenaline caused only very small changes in vascular and interstitial volume. 4. Caudal lymph heart frequency increases when high concentrations (greater than 1 × 10(−6) M) and doses (greater than 1 nmol) of AD and NA were administered. 5. Caudal lymph heart frequency increases were significantly correlated with changes in outflow after vascular volume adjustments. One function of the caudal lymph heart is to return interstitial fluid to the vascular system.


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