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犬肺与胸壁阻抗:频率和潮气量的影响

Lung and chest wall impedances in the dog: effects of frequency and tidal volume.

作者信息

Barnas G M, Stamenović D, Lutchen K R, Mackenzie C F

机构信息

Department of Anesthesiology, University of Maryland, Baltimore 21201.

出版信息

J Appl Physiol (1985). 1992 Jan;72(1):87-93. doi: 10.1152/jappl.1992.72.1.87.

Abstract

Dependences of the mechanical properties of the respiratory system on frequency (f) and tidal volume (VT) in the normal ranges of breathing are not clear. We measured, simultaneously and in vivo, resistance and elastance of the total respiratory system (Rrs and Ers), lungs (RL and EL), and chest wall (Rcw and Ecw) of five healthy anesthetized paralyzed dogs during sinusoidal volume oscillations at the trachea (50-300 ml, 0.2-2 Hz) delivered at a constant mean lung volume. Each dog showed the same f and VT dependences. The Ers and Ecw increased with increasing f to 1 Hz and decreased with increasing VT up to 200 ml. Although EL increased slightly with increasing f, it was independent of VT. The Rcw decreased from 0.2 to 2 Hz at all VT and decreased with increasing VT. Although the RL decreased from 0.2 to 0.6 Hz and was independent of VT, at higher f RL tended to increase with increasing f and VT (i.e., as peak flow increased). Finally, the f and VT dependences of Rrs were similar to those of Rcw below 0.6 Hz but mirrored RL at higher f. These data capture the competing influences of airflow nonlinearities vs. tissue nonlinearities on f and VT dependence of the lung, chest wall, and total respiratory system. More specifically, we conclude that 1) VT dependences in Ers and Rrs below 0.6 Hz are due to nonlinearities in chest wall properties, 2) above 0.6 Hz, the flow dependence of airways resistance dominates RL and Rrs, and 3) lung tissue behavior is linear in the normal range of breathing.

摘要

在正常呼吸范围内,呼吸系统机械性能对频率(f)和潮气量(VT)的依赖性尚不清楚。我们在五只健康的麻醉瘫痪犬的气管处以恒定平均肺容积进行正弦体积振荡(50 - 300 ml,0.2 - 2 Hz)时,同时在体内测量了整个呼吸系统(Rrs和Ers)、肺(RL和EL)以及胸壁(Rcw和Ecw)的阻力和弹性。每只犬都表现出相同的f和VT依赖性。Ers和Ecw随f增加至1 Hz而增加,并随VT增加至200 ml而降低。尽管EL随f增加略有增加,但它与VT无关。Rcw在所有VT下从0.2 Hz降至2 Hz,并随VT增加而降低。尽管RL从0.2 Hz降至0.6 Hz且与VT无关,但在较高频率时,RL倾向于随f和VT增加而增加(即随着峰值流量增加)。最后,Rrs的f和VT依赖性在低于0.6 Hz时与Rcw相似,但在较高频率时与RL相反。这些数据揭示了气流非线性与组织非线性对肺、胸壁和整个呼吸系统的f和VT依赖性的竞争影响。更具体地说,我们得出以下结论:1)低于0.6 Hz时,Ers和Rrs中的VT依赖性是由于胸壁特性的非线性;2)高于0.6 Hz时,气道阻力的流量依赖性主导RL和Rrs;3)在正常呼吸范围内,肺组织行为是线性的。

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