Shardonofsky F R, Skaburskis M, Sato J, Zin W A, Milic-Emili J
Meakins-Christie Laboratories, McGill University, Montreal, Quebec, Canada.
J Appl Physiol (1985). 1991 Aug;71(2):498-508. doi: 10.1152/jappl.1991.71.2.498.
Using the technique of rapid airway occlusion during constant-flow inflation, we studied the effects of inflation volume, different baseline tidal volumes (10, 20, and 30 ml/kg), and vagotomy on the resistive and elastic properties of the lungs and chest wall in six anesthetized tracheotomized paralyzed mechanically ventilated cats. Before vagotomy, airway resistance decreased significantly with increasing inflation volume at all baseline tidal volumes. At any given inflation volume, airway resistance decreased with increasing baseline tidal volume. After vagotomy, airway resistance decreased markedly and was no longer affected by baseline tidal volume. Prevagotomy, pulmonary tissue resistance increased progressively with increasing lung volume and was not affected by baseline tidal volume. Pulmonary tissue resistance decreased postvagotomy. Chest wall tissue resistance increased during lung inflation but was not affected by either baseline tidal volume or vagotomy. The static volume-pressure relationships of the lungs and chest wall were not affected by either baseline tidal volume or vagotomy. The data were interpreted in terms of a linear viscoelastic model of the respiratory system (J. Appl. Physiol. 67: 2276-2285, 1989).
我们采用恒流充气期间快速气道阻塞技术,研究了充气量、不同基础潮气量(10、20和30 ml/kg)以及迷走神经切断术对6只麻醉、气管切开、麻痹并机械通气的猫的肺和胸壁的阻力及弹性特性的影响。在迷走神经切断术前,在所有基础潮气量下,气道阻力均随充气量增加而显著降低。在任何给定的充气量下,气道阻力随基础潮气量增加而降低。迷走神经切断术后,气道阻力显著降低,且不再受基础潮气量影响。迷走神经切断术前,肺组织阻力随肺容积增加而逐渐增加,且不受基础潮气量影响。迷走神经切断术后肺组织阻力降低。胸壁组织阻力在肺充气时增加,但不受基础潮气量或迷走神经切断术影响。肺和胸壁的静态容积-压力关系不受基础潮气量或迷走神经切断术影响。这些数据根据呼吸系统的线性粘弹性模型进行了解释(《应用生理学杂志》67: 2276 - 2285, 1989)。