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在增强力环境下犬肺血流的空间分布

Spatial distribution of pulmonary blood flow in dogs in increased force environments.

作者信息

Greenleaf J F, Ritman E L, Chevalier P A, Sass D J, Wood E H

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1978 Mar;44(3):384-96. doi: 10.1152/jappl.1978.44.3.384.

Abstract

Spatial distribution of pulmonary blood flow (SDPBF) during 2- to 3-min exposures to 6-8 Gy acceleration was studied, using radioactive microspheres in dogs, and compared to previously reported 1 Gy control distributions. Isotope distributions were measured by scintiscanning individual 1-cm-thick cross sections of excised, fixed lungs. Results indicate: 1) the fraction of cardiac output traversing left and right lungs did not change systematically with the duration and magnitude of acceleration; but 2) the fraction is strongly affected by the occurrence or absence of fast deep breaths, which cause an increase or decrease, respectively, in blood flow through the dependent lung; and 3) Gy acceleration caused a significant increase in relative pulmonary vascular resistance (PVR) in nondependent and dependent regions of the lung concurrent with a decrease in PVR in the midsagittal region of the thorax. Result 3 may be mediated primarily by changes in regional alveolar volume and geometry in the nondependent hemithorax conbined with hydrostatic effects of extravascular fluid and active hypoxic response in the dependent region and is superimposed on, and may override, hydrostatic effects of perfusion pressures on SDPBF during acceleration.

摘要

使用放射性微球对犬类进行研究,以观察在2至3分钟内暴露于6 - 8戈瑞加速度期间肺血流的空间分布(SDPBF),并与先前报道的1戈瑞对照分布进行比较。通过对切除并固定的肺的单个1厘米厚横截面进行闪烁扫描来测量同位素分布。结果表明:1)流经左肺和右肺的心输出量分数不会随着加速度的持续时间和大小而系统性变化;但是2)该分数受到快速深呼吸的出现或缺失的强烈影响,快速深呼吸分别会导致流经下垂肺的血流量增加或减少;并且3)戈瑞加速度导致肺非下垂区域和下垂区域的相对肺血管阻力(PVR)显著增加,同时胸部矢状面中部区域的PVR降低。结果3可能主要由非下垂半胸区域的局部肺泡体积和几何形状变化介导,同时伴有下垂区域血管外液的流体静力效应和主动低氧反应,并且叠加在加速度期间灌注压力对SDPBF的流体静力效应之上,可能会超过该效应。

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