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在肺叶通气性缺氧和萎陷期间心输出量增加对肺血流分布的影响。

Effects of increased cardiac output on pulmonary blood flow distribution during lobar ventilation hypoxia and collapse.

作者信息

Cannon D, Kalso E J, Burchardi H, Sykes M K

机构信息

Nuffield Department of Anaesthetics, Radcliffe Infirmary, Oxford.

出版信息

Br J Anaesth. 1988 Mar;60(4):430-8. doi: 10.1093/bja/60.4.430.

Abstract

Electromagnetic flow probes were placed around the pulmonary artery and left lower lobe artery in anaesthetized open-chest dogs in order to measure possible changes in the ratio of lobar-to-total pulmonary blood flow (Ql/Qt) in response to changes in cardiac output produced by the opening of arterio-venous fistulae or fluid loading. Ventilation of the lobe with 7% oxygen or lobar collapse reduced Ql/Qt by 35% and 42%, respectively, but there were no significant changes in Ql/Qt in response to increases in Qt of 29-133%. It is concluded that the changes in Qt, pulmonary vascular pressures and mixed venous PO2 within the range studied did not influence Ql/Qt.

摘要

在麻醉开胸犬的肺动脉和左下叶动脉周围放置电磁流量探头,以测量因动静脉瘘开放或液体负荷导致心输出量变化时,肺叶与总肺血流量之比(Ql/Qt)的可能变化。用7%氧气对肺叶进行通气或肺叶萎陷分别使Ql/Qt降低35%和42%,但当Qt增加29%-133%时,Ql/Qt无显著变化。结论是,在所研究的范围内,Qt、肺血管压力和混合静脉血氧分压的变化不影响Ql/Qt。

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