Agostoni P, Deffebach M E, Kirk W, Brengelmann G L
Respir Physiol. 1987 Jun;68(3):259-67. doi: 10.1016/s0034-5687(87)80011-7.
Previous studies suggested that bronchial vascular resistance, like that of the skin, changes with the temperature of the surrounding tissue. To investigate this phenomenon, we recorded anastomotic (systemic to pulmonary) (Qbrs-p) and total (Qbr) bronchial blood flow over a temperature range centered on normal. In 7 open-chested dogs the in situ left lower lobe (LLL) was separately ventilated (30 degrees C, 5% CO2 in humidified air) and was suspended in a fabric net from a strain gauge for continuous recording of weight. The pulmonary circulation of the LLL was pump-perfused at 255 +/- 69 ml/min in a closed circuit with temperature set at 30, 33, 36, 39 and 42 degrees C. Qbrs-p was measured as overflow from the LLL vascular circuit corrected for LLL weight changes. Qbr, tracheal, mid-esophageal and coronary flow were measured with 15 mu radiolabelled microspheres injected in the left atrium. The animal's core temperature and that of the humidified air around the LLL were held constant. Qbr and Qbrs-p were equal and reached a peak at 36 degrees C with lower levels of flow at higher and lower temperatures. Esophageal, tracheal and coronary flow and cardiac output did not change nor did pressures in the systemic and LLL pulmonary artery and in the LLL airways. An intralobar change in temperature above or below 36 degrees C decreases only the lobar bronchial blood flow and does not influence blood flow to other nearby tissues including those vascularized by the bronchial circulation.
先前的研究表明,支气管血管阻力与皮肤的血管阻力一样,会随着周围组织的温度变化而改变。为了研究这一现象,我们在以正常体温为中心的温度范围内,记录了吻合口(体循环至肺循环)(Qbrs-p)和总支气管血流量(Qbr)。在7只开胸犬中,原位左下叶(LLL)单独进行通气(30℃,含5%二氧化碳的湿化空气),并通过应变仪悬挂在织物网中以连续记录重量。LLL的肺循环在闭合回路中以255±69ml/min的速度进行泵灌注,温度设置为30、33、36、39和42℃。Qbrs-p通过对LLL血管回路的溢出量进行测量,并校正LLL重量变化。Qbr、气管、食管中段和冠状动脉血流量通过向左心房注射15μm放射性标记微球进行测量。动物的核心体温以及LLL周围湿化空气的温度保持恒定。Qbr和Qbrs-p相等,并在36℃时达到峰值,在更高和更低温度下血流量较低。食管、气管和冠状动脉血流量以及心输出量没有变化,体循环和LLL肺动脉以及LLL气道中的压力也没有变化。叶内温度高于或低于36℃的变化仅会降低叶支气管血流量,而不会影响流向其他附近组织的血流量,包括那些由支气管循环供血的组织。