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静态胸肺顺应性作为犬肺功能的一项测量指标。

Static thoracic compliance as a measurement of pulmonary function in dogs.

作者信息

King L G, Drobatz K J, Hendricks J C

机构信息

Department of Clinical Sciences, School of Veterinary Medicine, University of Pennsylvania, Philadelphia 19104-6010.

出版信息

Am J Vet Res. 1991 Oct;52(10):1597-601.

PMID:1767978
Abstract

Thoracic compliance measurements by use of readily available equipment were determined to be practical and safe in dogs. Twenty healthy dogs (age 1 to 16 years, weight 2.3 to 49.5 kg) were anesthesized for routine procedures such as dentistry or neutering. The animals were first hyperventilated to reduce pulmonary atelectasis, to check for leakage at the endotracheal tube cuff, and to induce mild hypocarbia, thus minimizing voluntary respiratory efforts. Total thoracic compliance measurements were calculated as the difference between exhaled volumes at static inspiratory pressures of 15 and 20 cm of H2O, divided by the pressure difference, and expressed as a function of body weight. The procedure was easy, took 5 to 10 minutes, and caused no recognizable ill effects in any of the dogs studied. Mean total thoracic compliance was 42.25 +/- 32 ml/cm of H2O. There was a significant correlation with weight, but no significant relationship was seen between compliance and age, or gender. The mean weight-adjusted total thoracic compliance was 1.85 +/- 0.56 ml/cm of H2O/kg. In studies in a small group of dogs with documented respiratory tract disease, 4 of 7 had a mean compliance greater than 2 SD below the normal range. Thus, this test may become part of the routine workup of any animal being anesthetized for procedures such as bronchoscopy to evaluate respiratory tract disease. Routine monitoring of animals on ventilators could provide early warning of complications such as pneumonia, pleural effusion, or pulmonary edema.

摘要

使用现有设备对犬类进行胸廓顺应性测量被确定为切实可行且安全的方法。20只健康犬(年龄1至16岁,体重2.3至49.5千克)接受麻醉以进行诸如牙科治疗或绝育等常规手术。首先使动物过度通气以减少肺不张、检查气管导管套囊处是否漏气,并诱发轻度低碳酸血症,从而最大程度减少自主呼吸努力。胸廓总顺应性测量值通过计算在15和20厘米水柱的静态吸气压力下呼出量的差值,再除以压力差得出,并以体重的函数表示。该操作简便,耗时5至10分钟,且在所研究的任何一只犬中均未产生可识别的不良影响。胸廓总顺应性平均值为42.25±32毫升/厘米水柱。与体重存在显著相关性,但顺应性与年龄或性别之间未发现显著关系。体重调整后的胸廓总顺应性平均值为1.85±0.56毫升/厘米水柱/千克。在一小群有呼吸道疾病记录的犬类研究中,7只中有4只的平均顺应性比正常范围低2个标准差以上。因此,该测试可能会成为对因支气管镜检查等程序接受麻醉以评估呼吸道疾病的任何动物进行常规检查的一部分。对使用呼吸机的动物进行常规监测可以为诸如肺炎、胸腔积液或肺水肿等并发症提供早期预警。

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