Mansell A L, Moalli R R, Calista C L, Pipkin A C
Department of Pediatrics, Rhode Island Hospital, Providence.
J Appl Physiol (1985). 1989 Oct;67(4):1422-7. doi: 10.1152/jappl.1989.67.4.1422.
Several manifestations of lung disease during infancy suggest that mechanical interdependence can be relatively high in newborn lungs. To test this possibility, we measured elastic moduli and pleural membrane tension in lungs excised from piglets ranging in age from less than 12 h to 85 days. Near maximum inflation, newborn lungs (less than 12 h, n = 6) had no detectable pleural membrane tension, although 3- to 5-day-old lungs (n = 6) had tension greater than 5,000 dyn/cm. In contrast, parenchymal recoil was greater in the newborn lungs [19.3 +/- 3.0 (SD) vs. 14.3 +/- 2.4 cmH2O at 90% of maximum inflation volume, P less than 0.01]. Shear moduli were higher (13.5 +/- 4.6 vs. 9.2 +/- 1.5 cmH2O at 15 cmH2O transpulmonary pressure, P less than 0.05) and Poisson ratios were lower in the newborn lungs as compared with the 3- to 5-day-old lungs. Postnatal lung growth between 3 and 85 days was characterized by 1) a constant shear modulus (0.6 times transpulmonary pressure); 2) decrease in the bulk modulus (from 6.8 to 5.1 times transpulmonary pressure, P less than 0.005); and 3) evidence of gas trapping at progressively higher transpulmonary pressures. Therefore, growth of parenchyma in the piglet lung is associated with reduced stiffness to volume change but with no effect on overall stiffness to shape change. Nevertheless, a relatively great stiffness to shape change occurs transiently in newborn piglet lungs.
婴儿期肺部疾病的几种表现表明,新生儿肺中的机械相互依存性可能相对较高。为了验证这种可能性,我们测量了从年龄小于12小时至85天的仔猪切除的肺的弹性模量和胸膜膜张力。在接近最大充气时,新生肺(小于12小时,n = 6)没有可检测到的胸膜膜张力,而3至5日龄的肺(n = 6)的张力大于5000达因/厘米。相比之下,新生肺的实质回缩更大[在最大充气量的90%时为19.3±3.0(标准差)对14.3±2.4厘米水柱,P<0.01]。与3至5日龄的肺相比,新生肺的剪切模量更高(在15厘米水柱跨肺压时为13.5±4.6对9.2±1.5厘米水柱,P<0.05),泊松比更低。出生后3至85天的肺生长特点为:1)剪切模量恒定(跨肺压的0.6倍);2)体积模量降低(从跨肺压的6.8倍降至5.1倍,P<0.005);3)在逐渐升高的跨肺压下有气体潴留的证据。因此,仔猪肺实质的生长与体积变化的刚度降低有关,但对形状变化的整体刚度没有影响。然而,新生仔猪肺在短期内对形状变化有相对较大的刚度。