González Mangado N, Barberà Mir J A, Peces-Barba G, Vallejo Galbete J, Lahoz Navarro F
Respiration. 1986;50(1):9-17. doi: 10.1159/000194901.
We measured pulmonary parenchymal tissue volume (Vt) and pulmonary capillary blood flow (Qc) in 11 normal subjects by a rebreathing technique and end-tidal, dead-space correction (ETDS) method, using two soluble gases, acetylene (C2H2) and dimethyl ether (DME). We assessed the results using different intervals of measurement, inspired volumes and rebreathing frequencies. The mean values +/- SD of Vt were 559 +/- 58 and 511 +/- 52 ml, with C2H2 and DME, and of Qc were 3.67 +/- 0.44 and 4.18 +/- 0.54 liter/min/m2, respectively. Measurements with the interval between the 1st and the 6th end-tidal points and within the first 15 s yielded the best reproducibility. Data obtained from two satisfactory recordings from the same subject are sufficient to calculate Vt and Qc. Inspired volume shows a significant correlation with Vt values measured with both tracer gases, especially with DME. Rebreathing frequency also affects this latter gas. Despite some problems which are not easily explainable (dependence upon the inspired volume, rebreathing frequency and test gas species), we conclude that the methods allow measurements of Vt and Qc with acceptable reproducibility but that different variables may affect the results.
我们使用两种可溶气体乙炔(C₂H₂)和二甲醚(DME),通过重复呼吸技术和潮气末死腔校正(ETDS)方法,测量了11名正常受试者的肺实质组织容积(Vt)和肺毛细血管血流量(Qc)。我们使用不同的测量间隔、吸入容积和重复呼吸频率评估结果。使用C₂H₂和DME时,Vt的平均值±标准差分别为559±58和511±52 ml,Qc的平均值±标准差分别为3.67±0.44和4.18±0.54升/分钟/平方米。在第1个和第6个潮气末点之间以及最初15秒内进行测量,重复性最佳。从同一受试者的两次满意记录中获得的数据足以计算Vt和Qc。吸入容积与用两种示踪气体测量的Vt值显著相关,尤其是与DME。重复呼吸频率也会影响后一种气体。尽管存在一些难以解释的问题(依赖于吸入容积、重复呼吸频率和测试气体种类),但我们得出结论,这些方法能够以可接受的重复性测量Vt和Qc,但不同变量可能会影响结果。