Friedman M, Wanner A
J Appl Physiol Respir Environ Exerc Physiol. 1977 Apr;42(4):519-24. doi: 10.1152/jappl.1977.42.4.519.
The volumes of the extraparenchymal segment (VpaEP) and intraparenchymal segment (VpaIP) of the pulmonary arterial tree were determined in intact anesthetized dogs during room air breathing and acute hypoxia. Total pulmonary arterial blood volume (Vpatotal) was calculated as the product of pulmonary blood flow and pulmonary arterial circulation time. An angiographic technique was used to estimate VpEP. VpaIP was calculated by subtracting VpaEP from Vpatotal. During room air breathing at functional residual capacity, mean +/- SD of VpaEP was 17.1 +/- 5.1 ml and of VpaIP was 31.7 +/- 20.8 ml, representing 40% and 60%, respectively, of Vpatotal. Vpatotal increased 22.2 +/- 10.5 ml during lung inflation, with proportional increases in VpaIP and VpaEP. VpaEP was found to be influenced equally by changes in transmural pulmonary arterial and transpulmonary pressures. Acute hypoxia was accompanied by an increase in pulmonary vascular resistance and a decrease in volume distensibility of the extraparenchymal segment. Vpatotal increased 76% without changes in the relative volume distribution of VpaEP and VpaIP. These findings can be best explained by active vasomotion with an increase in down-stream pulmonary vascular resistance.
在清醒麻醉犬进行室内空气呼吸和急性缺氧期间,测定了肺动脉树的肺实质外段(VpaEP)和肺实质内段(VpaIP)的容积。总肺动脉血容量(Vpatotal)通过肺血流量与肺动脉循环时间的乘积来计算。采用血管造影技术估计VpEP。VpaIP通过从Vpatotal中减去VpaEP来计算。在功能残气量时进行室内空气呼吸期间,VpaEP的平均值±标准差为17.1±5.1 ml,VpaIP为31.7±20.8 ml,分别占Vpatotal的40%和60%。肺充气时,Vpatotal增加22.2±10.5 ml,VpaIP和VpaEP成比例增加。发现VpaEP受跨壁肺动脉压和跨肺压变化的影响相同。急性缺氧伴有肺血管阻力增加和肺实质外段容积扩张性降低。Vpatotal增加76%,而VpaEP和VpaIP的相对容积分布无变化。这些发现最好用下游肺血管阻力增加的主动血管运动来解释。