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直立位时浸没与压力呼吸及膈肌功能的比较

Immersion vs pressure-breathing and diaphragmatic function in the upright position.

作者信息

Minh V D, Dolan G F, Nam D D, Linaweaver P G, Harvey C

出版信息

Respir Physiol. 1979 Jan;36(1):39-49. doi: 10.1016/0034-5687(79)90013-6.

Abstract

In seven anesthetized dogs, immersion in the upright position to mid-neck level (IM) was compared to pressure breathing (PB) under dry conditions during constant-stimulus diaphragmatic contraction (EPS). The comparison was in terms of EPS-induced changes in alveolar pressure under static condition (Pmus); EPS-induced tidal volume (VT); and the VT/Pmus ratio (C'). It was found that at iso-lung volume (V): (a) Pmus was greater in IM than in PB, the difference increased at higher V; (b) VT was greater in IM than in PB, but the VT difference (deltaVT) did not parallel that in Pmus; VT was maximum at a V equal to approximately 90% of FRC in air (FRCd) and decreased below and above this volume; (c) during both IM and PB, the VT-V relationship reflected a biphasic relationship of C' to V and appeared to be inherent to the upright position.

摘要

在七只麻醉犬中,在持续刺激膈肌收缩(EPS)期间,将处于直立位浸入至颈部中部水平(IM)与在干燥条件下的压力呼吸(PB)进行比较。比较内容包括静态条件下EPS引起的肺泡压力变化(Pmus);EPS引起的潮气量(VT);以及VT/Pmus比值(C')。结果发现,在等肺容积(V)时:(a)IM时的Pmus高于PB,在更高的V时差异增大;(b)IM时的VT大于PB,但VT差异(deltaVT)与Pmus的差异不平行;VT在V等于约90%的空气中功能残气量(FRCd)时最大,在该容积以下和以上时均降低;(c)在IM和PB期间,VT-V关系均反映了C'与V的双相关系,且似乎是直立位所固有的。

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