Guenard H, Manier G, Castaing Y, Marthan R
Rev Mal Respir. 1985;2(1):3-9.
The main results obtained, in healthy or unhealthy man, with the inert gas method are gathered together. The major factor at the source of hypoxemia is the uneven distribution of VA/Q ratios. The fall in the partial pressure of oxygen in mixed venous blood amplifies this effect. Only hypoxemia, during muscular exercise, in patients with interstitial lung diseases could be explained, in part, by a decrease in membrane diffusion and a reduction in the transit time of blood in pulmonary capillaries. The differences between the methods used to analyse pulmonary gas exchange are discussed.
将使用惰性气体法在健康或不健康人群中获得的主要结果汇总在一起。低氧血症的主要根源是通气/血流比值分布不均。混合静脉血中氧分压的下降会放大这种效应。仅间质性肺疾病患者在肌肉运动时出现的低氧血症,部分可通过膜扩散减少和血液在肺毛细血管中通过时间缩短来解释。文中还讨论了用于分析肺气体交换的方法之间的差异。