Abe T, Sato J, Romero P, Bates J H
Meakins-Christie Laboratories, McGill University, Montreal, Quebec, Canada.
Respir Physiol. 1991 May;84(2):159-70. doi: 10.1016/0034-5687(91)90114-x.
If the flow of gas at the airway opening of a tracheostomized dog is suddenly interrupted during expiration, the airway pressure exhibits a sudden very rapid rise, called delta Pinit, which has been shown previously to equal the resistive pressure drop across the airways in open-chest dogs, and to have a significant additional contribution from the tissues of the chest wall in intact dogs. In the present study we attempted to separate the contributions of airways and tissues to delta Pinit in intact dogs by performing flow interruptions with the lungs full of gas mixtures having different physical properties. A Moody plot (the Friction coefficient calculated using delta Pinit versus the Reynolds number) had a marked negative slope at Reynolds numbers up to 5 x 10(4), whereas the plot is predicted to have a slope close to zero at Reynolds numbers greater than 4 x 10(3) on the basis of purely fluid dynamic considerations. Assuming delta Pinit to be the result of a linear dependence of airway resistance on flow and a constant tissue resistance, we were able to account for the negative slope of the Moody plot. We also found that the values of airway and tissue resistances estimated from the data were very close to those estimated by more direct means in a previous study of delta Pinit. We conclude that it is possible to discern the separate effects of airway and tissue resistances in delta Pinit at high Reynolds numbers.
如果在呼气过程中气管切开犬气道开口处的气流突然中断,气道压力会出现突然的非常快速的升高,称为初始压力增量(delta Pinit),此前已表明其等于开胸犬气道上的阻力压降,并且在完整犬中胸壁组织也有显著的额外贡献。在本研究中,我们试图通过在肺充满具有不同物理性质的气体混合物的情况下进行气流中断,来区分完整犬中气道和组织对初始压力增量的贡献。穆迪图(使用初始压力增量计算的摩擦系数与雷诺数的关系图)在雷诺数高达5×10⁴时具有明显的负斜率,而基于纯流体动力学考虑,预计该图在雷诺数大于4×10³时斜率接近零。假设初始压力增量是气道阻力对流量的线性依赖和恒定组织阻力的结果,我们能够解释穆迪图的负斜率。我们还发现,从数据估计的气道和组织阻力值与先前关于初始压力增量的研究中通过更直接方法估计的值非常接近。我们得出结论,在高雷诺数下能够辨别气道和组织阻力在初始压力增量中的单独作用。