Warner D O
Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota 55905.
J Appl Physiol (1985). 1990 Jul;69(1):155-61. doi: 10.1152/jappl.1990.69.1.155.
To quantify the inhomogeneity of alveolar pressures (PA) during cyclic changes in lung volume similar to those present during spontaneous breathing, inhomogeneity of PA was measured with an alveolar capsule technique in six excised canine lungs. The lungs were ventilated by a quasi-sinusoidal pump with a constant end-expiratory lung volume and tidal volumes of 10, 20, and 40% of vital capacity at breathing frequencies ranging from 5 to 45 breaths/min. Inhomogeneity of PA was quantified as the sample standard deviation of pressures measured in three capsules. A component of inhomogeneity in phase with flow and a smaller component out of phase with flow were present. The in-phase component increased approximately linearly with flow. The ratio of inhomogeneity to flow was smaller at large tidal volumes and, at the two higher tidal volumes studied, the ratio was greater during inspiration than during expiration. If these data are interpreted in terms of a simple circuit model, this degree of inhomogeneity implies an approximately twofold variation in regional time constants. Despite these considerable differences in time constants, the absolute amount of inhomogeneity as defined by the sample standard deviation of the three PA's was small (maximum 0.57 +/- 0.32 cmH2O at the highest breathing frequency and tidal volume) because airway resistance in the canine lung was small.
为了量化与自主呼吸时相似的肺容积周期性变化过程中肺泡压(PA)的不均匀性,采用肺泡囊技术在6只离体犬肺中测量了PA的不均匀性。通过准正弦泵对肺进行通气,呼气末肺容积恒定,潮气量分别为肺活量的10%、20%和40%,呼吸频率范围为5至45次/分钟。PA的不均匀性通过三个囊内测量压力的样本标准差来量化。存在与流量同相的不均匀性成分和与流量异相的较小成分。同相成分随流量近似线性增加。大潮气量时不均匀性与流量的比值较小,在所研究的两个较大潮气量下,吸气时的比值大于呼气时。如果用简单的电路模型来解释这些数据,这种程度的不均匀性意味着区域时间常数大约有两倍的变化。尽管时间常数存在这些显著差异,但由三个PA的样本标准差定义的不均匀性绝对量较小(在最高呼吸频率和潮气量时最大为0.57±0.32 cmH₂O),因为犬肺的气道阻力较小。