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通气周期中主肺动脉的顺应性。

Compliance of the main pulmonary artery during the ventilatory cycle.

作者信息

Grant B J, Lieber B B

机构信息

Department of Medicine, State University of New York, Buffalo 14215.

出版信息

J Appl Physiol (1985). 1992 Feb;72(2):535-42. doi: 10.1152/jappl.1992.72.2.535.

Abstract

Transmural pulmonary arterial pressure (Ppa), diameter (D), and length (L) of a segment of the main pulmonary artery (MPA) were measured simultaneously in anesthetized open-chest dogs. The instantaneous volume was calculated from D and L. Pulmonary arterial elasticity for diameter (EpD) was calculated as the ratio of the amplitude of Ppa to D oscillation normalized by the mean D. Similar indexes were calculated for L (EpL) and V (Epv). Compliance per unit length was calculated from the dimensions and elasticity of the MPA. Under control conditions with 5 cmH2O positive end-expiratory pressure, EpD, EpL, and Epv at cardiac frequency were 175 +/- 27, 147 +/- 27, and 55 +/- 7 cmH2O, respectively. EpD increased with positive end-expiratory pressure, but EpL decreased and Epv was unaffected. EpD, EpL, Epv, and compliance per unit length were not significantly different between the start of inspiration and the start of expiration. In addition, there were no significant phase differences between the oscillations of Ppa and V at respiratory frequency. We conclude that the previously reported time variation of pulmonary arterial compliance during the ventilatory cycle is not due to time-varying properties of the MPA.

摘要

在麻醉开胸犬中,同时测量主肺动脉(MPA)一段的跨壁肺动脉压(Ppa)、直径(D)和长度(L)。根据D和L计算瞬时容积。肺动脉直径弹性(EpD)计算为Ppa与D振荡幅度之比,该比值通过平均D进行归一化。对L(EpL)和V(Epv)计算类似指标。根据MPA的尺寸和弹性计算单位长度的顺应性。在呼气末正压为5 cmH2O的对照条件下,心脏频率下的EpD、EpL和Epv分别为175±27、147±27和55±7 cmH2O。EpD随呼气末正压增加,而EpL降低,Epv不受影响。吸气开始和呼气开始时,EpD、EpL、Epv和单位长度顺应性无显著差异。此外,呼吸频率下Ppa和V振荡之间无显著相位差异。我们得出结论,先前报道的通气周期中肺动脉顺应性随时间的变化并非由于MPA的时变特性。

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