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犬肺中肺阻力和肺顺应性的局部控制。

Local control of pulmonary resistance and lung compliance in the canine lung.

作者信息

Coon R L, Rattenborg C C, Kampine J P

出版信息

J Appl Physiol. 1975 Oct;39(4):580-9. doi: 10.1152/jappl.1975.39.4.580.

Abstract

Local control of pulmonary resistance and lung compliance was studied in the in situ left lower lobe of the canine lung. Recirculation of blood through the lobe while the Pco2 of the ventilatory gas was varied resulted in an increase in resistance and a decrease in compliance only when the pulmonary venous pH was greater than 7.42. Alternating sodium bicarbonate and lactic acid infusion while alveolar Pco2 was maintained below 5 mmHg demonstrated the dependence of the hypocapnic response on the acid-base status of the blood perfusing the respiratory airways. The increase in resistance and decrease in compliance observed at a pulmonary venous pH of 7.64 was comparable to that observed after lobar pulmonary artery occlusion. Varying degrees of hypoxia did not significantly affect bronchomotor tone, nor was the bronchoconstriction following lobar pulmonary artery occlusion affected by the hypoxia. Vagal stimulation superimposed on a stepwise increase in pulmonary venous pH from 7.32 to 7.62 resulted in an increase in resistance which paralleled the increase in resistance when pulmonary venous pH alone was increased. Compliance was not significantly affected by vagal stimulation at any level of pulmonary venous pH.

摘要

在犬肺原位左下叶研究了肺阻力和肺顺应性的局部控制。当通气气体的Pco2变化时,血液通过该叶再循环,仅当肺静脉pH大于7.42时,才会导致阻力增加和顺应性降低。在肺泡Pco2维持在5 mmHg以下时,交替输注碳酸氢钠和乳酸表明低碳酸血症反应依赖于灌注呼吸道的血液的酸碱状态。在肺静脉pH为7.64时观察到的阻力增加和顺应性降低与叶肺动脉闭塞后观察到的情况相当。不同程度的缺氧对支气管运动张力没有显著影响,叶肺动脉闭塞后的支气管收缩也不受缺氧影响。在肺静脉pH从7.32逐步增加到7.62的过程中叠加迷走神经刺激,导致阻力增加,这与单独增加肺静脉pH时阻力的增加情况相似。在任何肺静脉pH水平下,迷走神经刺激对顺应性均无显著影响。

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