Mercer R R, Laco J M, Crapo J D
J Appl Physiol (1985). 1987 Apr;62(4):1480-7. doi: 10.1152/jappl.1987.62.4.1480.
To determine alveolar pressure-volume relationships, alveolar three-dimensional reconstructions were prepared from lungs fixed by vascular perfusion at various points on the pressure-volume curve. Lungs from male Sprague-Dawley rats were fixed by perfusion through the pulmonary artery following a pressure-volume maneuver to the desired pressure point on either the inflation or deflation curve. Tissue samples from lungs were serially sectioned for determination of the volume fraction of alveoli and alveolar ducts and reconstruction of alveoli. Alveoli from lungs fixed at 5 cmH2O on the deflation curve (approximating functional residual volume) had a volume of 173 X 10(3) microns3, a surface area of 11,529 microns2, a mouth opening diameter of 72.7 microns, and a mean caliper diameter of 91.8 micron (SE). Alveolar shape changes during deflation from total lung capacity to residual volume was first (30 to 10 cmH2O) associated with little change in the diameter of the alveoli (102.7 +/- 2.4 to 100.3 +/- 3.3 microns). In the range overlapping normal breathing (10 to 0 cmH2O) there was a substantial decrease in diameter (100.3 +/- 3.3 to 43.3 +/- 2.3 microns). These measurements and others made on the relative changes in the dimensions of the alveolus suggest that the elastic network, particularly around the alveolar ducts, are predominant in determining lung behavior near the volume expansion limits of the lung while the elastic and surface tension properties of the alveoli are predominant in the volume range around functional residual capacity.
为了确定肺泡压力-容积关系,在压力-容积曲线的不同点,通过血管灌注固定肺组织后,制备肺泡三维重建模型。雄性Sprague-Dawley大鼠的肺组织,在压力-容积操作使其达到膨胀或收缩曲线的所需压力点后,通过肺动脉进行灌注固定。对肺组织样本进行连续切片,以测定肺泡和肺泡管的容积分数,并重建肺泡。在收缩曲线上5 cmH2O(接近功能残气量)处固定的肺组织的肺泡,其容积为173×10(3)立方微米,表面积为11,529平方微米,开口直径为72.7微米,平均卡尺直径为91.8微米(标准误)。从肺总量到残气量的呼气过程中,肺泡形状的变化首先(从30至10 cmH2O)表现为肺泡直径变化不大(从102.7±2.4微米至100.3±3.3微米)。在与正常呼吸重叠的范围内(从10至0 cmH2O),直径显著减小(从100.3±3.3微米至43.3±2.3微米)。这些测量结果以及对肺泡尺寸相对变化的其他测量结果表明,弹性网络,尤其是肺泡管周围的弹性网络,在决定肺接近其容积扩张极限时的行为中起主要作用,而肺泡的弹性和表面张力特性在功能残气量附近的容积范围内起主要作用。