Guenard H, Manier G, Castaing Y, Varene N
Pflugers Arch. 1985 Apr;403(4):384-7. doi: 10.1007/BF00589250.
In ten normal subjects, series dead space was determined for six intravenously infused inert gases (SF6, ethane, cyclopropane, fluothane, ether, acetone) from their expired and alveolar concentrations. The method for sampling alveolar gas was based on the criterion of identity of mean alveolar and expired gas exchange ratios. Inert gases were analysed chromatographically. Acetone, the most soluble gas, yielded the lowest dead space, the difference to the other gases being about 4.5%. This is probably due to the non-infinite value of the series dead space ventilation-perfusion ratio (VA/Q) which was estimated at about 2,000. The diffusivity, inversely related to the molecular weight, also played a role, the heaviest gas (fluothane) having a greater dead space than the lightest (ethane). The underestimation of the dead space from acetone is expected to be greater in subjects with low tidal volume and high bronchial blood flow, i. e. in some patients with respiratory disease.
在10名正常受试者中,根据六种静脉注射惰性气体(六氟化硫、乙烷、环丙烷、氟烷、乙醚、丙酮)的呼出浓度和肺泡浓度测定了串联死腔。肺泡气采样方法基于平均肺泡气与呼出气体交换率相同的标准。惰性气体采用色谱法分析。丙酮是溶解度最大的气体,其产生的死腔最小,与其他气体的差异约为4.5%。这可能是由于串联死腔通气/灌注比(VA/Q)的非无穷大值,估计约为2000。扩散率与分子量成反比,也起到了一定作用,最重的气体(氟烷)的死腔比最轻的气体(乙烷)更大。在潮气量低和支气管血流量高的受试者中,即一些患有呼吸系统疾病的患者中,预计丙酮导致的死腔低估会更大。