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仔猪肺泡外动脉与肺实质之间相互依存关系的成熟过程。

Maturation of interdependence between extra-alveolar arteries and lung parenchyma in piglets.

作者信息

Mansell A L, McAteer A L, Pipkin A C

机构信息

Department of Pediatrics, Rhode Island Hospital, Providence 02902.

出版信息

Circ Res. 1992 Sep;71(3):701-10. doi: 10.1161/01.res.71.3.701.

Abstract

Mechanical interdependence between intrapulmonary structures and parenchyma has not been studied previously in immature postnatal lungs. To study these interactions, lung elastic moduli were measured by pressure-volume and punch indentation studies in lobes excised from 3-day-old (n = 6), 1-month-old (n = 6), and 3-month-old (n = 7) piglets. After extra-alveolar arteries were filled with a radiopaque fluid silicone compound, transpulmonary pressure and arterial pressure were varied independently as the lobar vein was occluded. Arterial diameters and lengths were measured from radiographs. Behavior of 3-month-old lungs was consistent with previous studies of adult lungs, but results were unique in 3-day-old lungs. That is, during stepwise deflation of the immature lungs 1) intravascular pressures fell when arteries were occluded experimentally, 2) arteries increased their diameters when kept at a constant intravascular pressure, and 3) arterial lengths decreased by less than 3%. Behavior of 1-month-old lungs was intermediate. A previous continuum mechanics analysis of pressure-diameter behavior was modified to account for compression by alveolar pressure as vascular diameters increase. It was concluded that 1) radial and axial dimensions of extra-alveolar arteries are virtually independent of parenchymal expansion in newborn piglet lungs and 2) periarterial interstitial pressures increase as these lungs are inflated. Our interpretation of these findings is that a mechanical association of the arteries to the parenchyma occurs gradually with postnatal maturation.

摘要

肺内结构与实质之间的机械相互依存关系在未成熟的新生肺中尚未得到过研究。为了研究这些相互作用,通过压力-容积和冲压压痕研究,对从3日龄(n = 6)、1月龄(n = 6)和3月龄(n = 7)仔猪切下的肺叶进行肺弹性模量测量。在用不透射线的液体硅化合物填充肺泡外动脉后,在阻塞肺叶静脉时,独立改变跨肺压和动脉压。从X光片中测量动脉直径和长度。3月龄肺的行为与先前对成年肺的研究一致,但3日龄肺的结果是独特的。也就是说,在未成熟肺逐步放气期间:1)当实验性阻塞动脉时,血管内压力下降;2)当血管内压力保持恒定时,动脉直径增大;3)动脉长度减少不到3%。1月龄肺的行为处于中间状态。对先前压力-直径行为的连续介质力学分析进行了修正,以考虑随着血管直径增加肺泡压力产生的压缩作用。得出的结论是:1)新生仔猪肺中肺泡外动脉的径向和轴向尺寸实际上与实质扩张无关;2)随着这些肺充气,动脉周围间质压力增加。我们对这些发现的解释是,动脉与实质之间的机械关联随着出生后的成熟逐渐发生。

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