Barrowcliffe M P, Jones J G, Agnew J E, Francis R A, Clarke S W
Division of Anaesthesia, Northwick Park Hospital, Harrow.
Eur J Respir Dis Suppl. 1987;153:68-77.
The anatomy and physiology of the pulmonary epithelial barrier are briefly described, and methods of measuring permeability of the barrier to solutes are outlined, including findings on alveolar barrier permeability to 99mTcDTPA. A method for measuring permeability to 99mTcDTPA of the conducting airways is described in which the effect of mucociliary clearance can be quantified using radio-labelled polystyrene microspheres 5 mum in diameter. When the 99mTcDTPA clearance rates from inner, intermediate and outer zones of the lungs are corrected fro the effect of mucociliary clearance, there is a significantly slower clearance from the conducting airways than from the alveoli.
简要描述了肺上皮屏障的解剖学和生理学,并概述了测量该屏障对溶质通透性的方法,包括肺泡屏障对99mTcDTPA通透性的研究结果。描述了一种测量传导气道对99mTcDTPA通透性的方法,其中可使用直径5μm的放射性标记聚苯乙烯微球来量化黏液纤毛清除的影响。当从肺内、中、外区的99mTcDTPA清除率校正黏液纤毛清除的影响后,传导气道的清除明显慢于肺泡。