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气雾组胺和卡巴胆碱对绵羊中枢和外周气流阻力的影响。

Effects of aerosol histamine and carbachol on central and peripheral airflow resistance in sheep.

作者信息

Snapper J R, Lefferts P L

出版信息

J Appl Physiol (1985). 1986 Aug;61(2):760-5. doi: 10.1152/jappl.1986.61.2.760.

Abstract

Sixteen anesthetized artificially ventilated open-chest sheep were prepared with retrograde catheters to allow for measurement of dynamic compliance of the lungs (Cdyn), total airflow resistance of the lungs (RL), and central (Rc) and peripheral (Rp) airflow resistance. Twelve sheep received aerosol histamine and 12 sheep received aerosol carbachol. Eight sheep received and responded to both aerosol histamine and aerosol carbachol. Three sheep received both aerosol histamine and aerosol carbachol but failed to respond to both agents. Under base-line conditions, for the 16 sheep, 69% of total RL was located in the peripheral component, Rp, and 31% in the central component, Rc. Aerosol histamine caused only peripheral small airway changes while aerosol carbachol predominantly effected the central large airways. When aerosol histamine responsiveness, defined using Cdyn or Rp, was compared to aerosol carbachol responsiveness using Rc, a correlation was demonstrable (r = 0.84, n = 8, P less than 0.05). It is possible in sheep to cause relatively pure peripheral small airway and relatively pure central large airway changes by using different bronchoconstrictor agents. Aerosol histamine and aerosol carbachol responsiveness correlated with each other in these artificially ventilated anesthetized sheep.

摘要

准备了16只麻醉后进行人工通气的开胸绵羊,通过逆行导管来测量肺的动态顺应性(Cdyn)、肺的总气流阻力(RL)以及中央(Rc)和外周(Rp)气流阻力。12只绵羊接受了组胺气雾剂,12只绵羊接受了卡巴胆碱气雾剂。8只绵羊对组胺气雾剂和卡巴胆碱气雾剂均有反应。3只绵羊接受了组胺气雾剂和卡巴胆碱气雾剂,但对两种药物均无反应。在基线条件下,对于这16只绵羊,总RL的69%位于外周部分Rp,31%位于中央部分Rc。组胺气雾剂仅引起外周小气道变化,而卡巴胆碱气雾剂主要影响中央大气道。当使用Cdyn或Rp定义的组胺气雾剂反应性与使用Rc的卡巴胆碱气雾剂反应性进行比较时,可显示出相关性(r = 0.84,n = 8,P < 0.05)。在绵羊中,通过使用不同的支气管收缩剂,有可能引起相对单纯的外周小气道变化和相对单纯的中央大气道变化。在这些人工通气的麻醉绵羊中,组胺气雾剂和卡巴胆碱气雾剂反应性相互关联。

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