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呼吸开始时羔羊肺淋巴液流动及肺内液体摄取情况。

Pulmonary lymph flow and the uptake of liquid from the lungs of the lamb at the start of breathing.

作者信息

Humphreys P W, Normand I C, Reynolds E O, Strang L B

出版信息

J Physiol. 1967 Nov;193(1):1-29. doi: 10.1113/jphysiol.1967.sp008340.

Abstract
  1. Lymph from the lungs of lambs and sheep was found to enter both the right lymph duct and the thoracic duct. Right lymph duct flow was collected by constructing a venous sac, the venous tributaries of which were ligated but which the right lymph duct entered; thoracic duct flow was collected by cannulating the duct. Lymph from sites other than the lungs was excluded from the collections.2. Measurements were made of the surface tension characteristics of lung extracts and of the liquid present in foetal lungs. These values were used together with gestational age and crown-rump length to designate the foetal lambs into mature and immature groups.3. Lymph flow from the lungs averaged 0.99 ml./kg body wt./hr in immature foetal lambs, and 1.81 ml./kg/hr in mature foetal lambs before the start of ventilation. Lymph flow from the lungs of spontaneously delivered new-born lambs (mean age 51 hr) averaged 0.86 ml./kg/hr. In adult ewes right lymph duct flow averaged 0.11 ml./kg/hr and total lung lymph flow was estimated indirectly to be 0.33 ml./kg/hr. Calculated rates of protein flow in lung lymph (flow x protein concentration) were greater in foetal lambs than in adult sheep.4. Total thoracic duct flow averaged 2.48 ml./kg/hr in immature foetal lambs, 5.30 ml./kg/hr in mature foetal lambs, 3.65 ml./kg/hr in new-born lambs, and 2.92 ml./kg/hr in adult ewes.5. At the start of ventilation there was an increase in lymph flow from the lungs, which at 15-30 min reached a mean of 6.4 ml./kg/hr in mature lambs and 2.6 ml./kg/hr in immature lambs. At the same time the protein concentration of lymph decreased but the calculated protein flow increased.6. The lungs of foetal lambs weighed more than the lungs of spontaneously delivered new-born lambs, and the difference could be accounted for by liquid which could be aspirated through the trachea of the foetal lamb. On ventilation of the lungs for 2 hr, without first allowing the escape of any lung liquid, lung weight measurements indicated that about 66% of the lung liquid had been taken up in mature lambs and about 50% in immature lambs.7. It was concluded that the rate at which lymph is formed in the lungs is greater per kilogram body weight in foetal than in new-born lambs and greater in them than in ewes. The increase in lymph flow at the start of ventilation could account for the removal of about 40% of the liquid present in the lungs of the mature foetus and about 25% of the liquid in the lungs of the immature foetus.
摘要
  1. 研究发现,来自羔羊和绵羊肺部的淋巴液会进入右淋巴管和胸导管。通过构建一个静脉囊来收集右淋巴管的淋巴液,该静脉囊的静脉分支被结扎,但右淋巴管会进入其中;通过将胸导管插管来收集胸导管的淋巴液。收集过程中排除了来自肺部以外部位的淋巴液。

  2. 对肺提取物和胎儿肺中存在的液体的表面张力特性进行了测量。这些值与胎龄和顶臀长度一起用于将胎儿羔羊分为成熟组和未成熟组。

  3. 在通气开始前,未成熟胎儿羔羊肺部的淋巴液流量平均为0.99毫升/千克体重/小时,成熟胎儿羔羊为1.81毫升/千克/小时。自然分娩的新生羔羊(平均年龄51小时)肺部的淋巴液流量平均为0.86毫升/千克/小时。成年母羊的右淋巴管流量平均为0.11毫升/千克/小时,肺淋巴液的总流量间接估计为0.33毫升/千克/小时。计算得出的胎儿羔羊肺淋巴液中的蛋白质流量率高于成年绵羊。

  4. 未成熟胎儿羔羊的胸导管总流量平均为2.48毫升/千克/小时,成熟胎儿羔羊为5.30毫升/千克/小时,新生羔羊为3.65毫升/千克/小时,成年母羊为2.92毫升/千克/小时。

  5. 在通气开始时,肺部的淋巴液流量增加,在15 - 30分钟时,成熟羔羊的平均流量达到6.4毫升/千克/小时,未成熟羔羊为2.6毫升/千克/小时。与此同时,淋巴液中的蛋白质浓度下降,但计算得出的蛋白质流量增加。

  6. 胎儿羔羊的肺比自然分娩的新生羔羊的肺重,这种差异可以由通过胎儿羔羊气管吸出的液体来解释。在肺部通气2小时后,在不首先让任何肺液排出的情况下,肺重量测量表明,成熟羔羊中约66%的肺液已被吸收,未成熟羔羊中约50%的肺液已被吸收。

  7. 研究得出结论,胎儿每千克体重肺部形成淋巴液的速率高于新生羔羊,且高于母羊。通气开始时淋巴液流量的增加可以解释成熟胎儿肺部约40%的液体以及未成熟胎儿肺部约25%的液体被清除。

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