Bennett R A, Addison J L, Rannels D E
Am J Physiol. 1987 Jul;253(1 Pt 1):E6-11. doi: 10.1152/ajpendo.1987.253.1.E6.
The pressure-volume characteristics of saline-filled lungs of adult rats were studied after left pneumonectomy (PNX), with or without prior bilateral adrenalectomy (ADX). Male Sprague-Dawley rats (200-240 g) remained unoperated (UNOP) or were divided into three surgical groups: left PNX, ADX alone, or PNX preceded 5 days earlier by ADX (ADX/PNX). Two weeks post-PNX, maximum lung volumes [MLV; measured at transpulmonary pressure (Ptp) of 10 cmH2O] of right lungs from PNX and ADX/PNX rats remained 20 and 37% below UNOP values, respectively, although right lung mass was equal to or exceeded that of both lungs in UNOP controls. Four weeks postoperative, MLVs approached but remained below normal values. In the ADX/PNX group, MLV was 35% below that predicted for lung mass. The effects of ADX on both lung mass and MLV were blocked by daily injections of ADX/PNX animals with hydrocortisone acetate (5 mg/kg). Neither PNX nor ADX/PNX altered lung volume at zero Ptp or changed the concentration of lung collagen or elastin. When corrected for differences in MLV, relative tissue compliance was unaffected by PNX but was reduced by ADX/PNX. These results indicate that MLV is not restored in parallel with lung mass during the rapid phase of compensatory tissue growth, which follows partial pneumonectomy, and that this discrepancy is accentuated by adrenalectomy.
对成年大鼠进行左肺切除(PNX)后,研究了生理盐水灌注肺的压力-容积特性,部分大鼠在PNX前进行或未进行双侧肾上腺切除术(ADX)。雄性Sprague-Dawley大鼠(200 - 240 g)未手术(UNOP)或分为三个手术组:左肺切除组、单纯肾上腺切除组、或在PNX前5天进行肾上腺切除(ADX/PNX)。PNX后两周,PNX组和ADX/PNX组大鼠右肺的最大肺容积[MLV;在跨肺压(Ptp)为10 cmH₂O时测量]分别比UNOP组低20%和37%,尽管右肺质量等于或超过UNOP对照组双肺的质量。术后四周,MLV接近但仍低于正常值。在ADX/PNX组中,MLV比根据肺质量预测的值低35%。每天给ADX/PNX组动物注射醋酸氢化可的松(5 mg/kg)可阻断ADX对肺质量和MLV的影响。PNX和ADX/PNX均未改变零Ptp时的肺容积,也未改变肺胶原蛋白或弹性蛋白的浓度。校正MLV差异后,相对组织顺应性不受PNX影响,但ADX/PNX使其降低。这些结果表明,在部分肺切除术后代偿性组织生长的快速阶段,MLV并未与肺质量平行恢复,并且肾上腺切除术会加剧这种差异。