Warner D O, Gunst S J
Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905.
Am Rev Respir Dis. 1992 Mar;145(3):553-60. doi: 10.1164/ajrccm/145.3.553.
Fourteen dogs were studied to determine whether (1) interdependence between airways and parenchyma can limit maximal bronchoconstriction under static conditions in vivo, and (2) stretching of airway smooth muscle during tidal breathing can attenuate muscle shortening and account for the limited bronchoconstriction previously observed in response to increasing doses of methacholine (MCh). In six dogs the left lung was ventilated while 50% MCh was nebulized into the airways of the right lower lobe (RLL) held at constant transpulmonary pressures (PL). Airway closure, as assessed by an alveolar capsule technique during small oscillations in lobar volume, occurred at PL less than or equal to 7.5 cm H2O. To assess the effects of tidal breathing, pulmonary resistance (RL) was measured in four dogs after MCh nebulization into the RLL during tidal breathing while the left lung was separately ventilated. In another four dogs the whole lung was challenged with MCh. At each MCh concentration, RL values in the RLL were much higher than in the whole lungs (30-fold at the highest MCh concentration), showing that maximal bronchoconstriction in response to MCh is much greater in the RLL than in the whole lung. We conclude that neither interdependence nor tidal breathing can fully explain limited maximal bronchoconstriction in living dogs.
对14只狗进行了研究,以确定:(1)气道与实质之间的相互依存关系是否会限制体内静态条件下的最大支气管收缩;(2)潮式呼吸期间气道平滑肌的拉伸是否会减弱肌肉缩短,并解释先前观察到的随着乙酰甲胆碱(MCh)剂量增加而出现的有限支气管收缩。在6只狗中,对左肺进行通气,同时将50%的MCh雾化到右下叶(RLL)的气道中,右下叶保持恒定的跨肺压(PL)。通过在叶体积的小振荡期间采用肺泡囊技术评估气道关闭情况,发现气道关闭发生在PL小于或等于7.5 cm H2O时。为了评估潮式呼吸的影响,在4只狗中,在潮式呼吸期间将MCh雾化到RLL中,同时对左肺单独通气,之后测量肺阻力(RL)。在另外4只狗中,用MCh对全肺进行刺激。在每个MCh浓度下,RLL中的RL值远高于全肺中的RL值(在最高MCh浓度下为30倍),这表明RLL中对MCh的最大支气管收缩反应比全肺中的要大得多。我们得出结论,相互依存关系和潮式呼吸都不能完全解释活体狗中有限的最大支气管收缩。