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姿势和麻醉对比格犬肺灌注分布及肺形态的影响。

Effect of posture and anaesthesia on the distribution of pulmonary perfusion and lung configuration in beagle dogs.

作者信息

Clercx C, van den Brom W E, de Vries H W

机构信息

Small Animal Clinic, University of Utrecht, The Netherlands.

出版信息

Res Vet Sci. 1989 Nov;47(3):359-66.

PMID:2595097
Abstract

To investigate the effect of posture and anaesthesia on the topographical distribution of pulmonary perfusion in canine lungs, the changes in lung shape, configuration and regional perfusion were assessed in healthy beagle dogs, using a repeated 99mTc perfusion scintigraphic procedure. The general shape of the lung images was similar in standing and prone postures, except for a relative increase of the more ventral zone in the prone posture, ascribed to vertical flattening of the lung associated with enlargement of the ventral zones. Configuration changes revealed a shift of the parenchyma towards the more caudal parts in the prone posture, which suggests a parenchymal compression of the paradiaphragmatic lung zones. The prone posture induced a decreased perfusion to the caudal third of the lung. Anaesthesia induced significant changes in lung shape without an obvious direction. The perfusion to the more ventral as well as to the more cranial zones was reduced. Differences in the perfusion distribution are thought to be mainly due to the pressure exerted by the abdominal content through the diaphragm and to the shift of the blood towards better ventilated lung regions.

摘要

为研究体位和麻醉对犬肺灌注地形分布的影响,采用重复的99mTc灌注闪烁扫描程序,对健康比格犬的肺形状、结构和区域灌注变化进行了评估。站立位和俯卧位时肺图像的总体形状相似,但俯卧位时更靠腹侧区域相对增加,这归因于与腹侧区域扩大相关的肺垂直扁平化。结构变化显示,俯卧位时实质向更靠尾侧的部位移位,这表明膈旁肺区存在实质受压。俯卧位导致肺尾侧三分之一的灌注减少。麻醉引起肺形状发生显著变化,但无明显方向。向更靠腹侧以及更靠头侧区域的灌注减少。灌注分布的差异被认为主要是由于腹腔内容物通过膈肌施加的压力以及血液向通气较好的肺区域转移所致。

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