Opdam J J
Coronel Laboratory, Faculty of Medicine, University of Amsterdam, The Netherlands.
Br J Ind Med. 1989 Mar;46(3):145-56. doi: 10.1136/oem.46.3.145.
The definition of the respiratory input in experimental human exposure to volatile solvents was examined on theoretical grounds. The respiratory rate of input may be defined as the rate of uptake that equals the inhaled minus exhaled amount per minute. In the present paper the rate of respiratory input is defined as the rate of the functional intake (RFI) which equals the product of the inhaled concentration (CI) and a functional alveolar ventilation (Va). The functional Va is a virtual alveolar volume per minute which equilibrates completely with the mixed venous blood. Human subjects were exposed simultaneously to tetrachloroethene (PER, perchloroethylene) and trichloroethene (TRI) in order to study the consequences of the application of both definitions. It is shown that when using the uptake as the respiratory input some misleading conclusions may be drawn on (a) the dependence of the metabolised fraction on the duration of exposure, (b) the dependence of the kinetic characteristic on the duration and route of administration, and (c) the changes of the rate of metabolism during exposure due to physical exercise. The respiratory input defined as the rate of functional intake (RFI) rejects these misleading conclusions.
从理论角度对实验性人体暴露于挥发性溶剂时呼吸输入的定义进行了研究。输入的呼吸速率可定义为每分钟摄取速率,即吸入量减去呼出量。在本文中,呼吸输入速率定义为功能性摄入量(RFI)的速率,其等于吸入浓度(CI)与功能性肺泡通气量(Va)的乘积。功能性Va是每分钟与混合静脉血完全平衡的虚拟肺泡体积。为了研究两种定义应用的结果,让人体受试者同时暴露于四氯乙烯(PER,全氯乙烯)和三氯乙烯(TRI)中。结果表明,当使用摄取量作为呼吸输入时,可能会在以下方面得出一些误导性结论:(a)代谢分数对暴露持续时间的依赖性;(b)动力学特征对给药持续时间和途径的依赖性;(c)体育锻炼导致暴露期间代谢速率的变化。定义为功能性摄入量(RFI)速率的呼吸输入排除了这些误导性结论。