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[支气管通畅性局部紊乱对肺循环及气体交换的影响]

[Effect of a local disorder of bronchial patency on the circulation and gas exchange in the lungs].

作者信息

Putov N V, Danilov D N, Lebedeva E S, Chermenskiĭ Iu V

出版信息

Biull Eksp Biol Med. 1987 Jan;103(1):32-5.

PMID:3801647
Abstract

Acute and chronic experiments on dogs have demonstrated the onset of local alveolar hypoxia in disturbed bronchial patency. Alveolar hypoxia caused a rise in the pulmonary vascular resistance. Pulmonary hypertension is predetermined by an increased number of pulmonary zones of hypoxic vasoconstriction due to higher incidence and degree of bronchial obstruction. Despite pulmonary circulation redistribution confirmed by radioactive indicator 99mTc distribution, the perfusion of hypoventilated pulmonary regions is retained leading to venous shunt generation and the reduction of oxygen tension in the arterial animal blood.

摘要

对狗进行的急性和慢性实验表明,支气管通畅性受干扰时会出现局部肺泡缺氧。肺泡缺氧导致肺血管阻力增加。由于支气管阻塞的发生率和程度较高,缺氧性血管收缩的肺区数量增加,从而导致肺动脉高压。尽管放射性示踪剂99mTc分布证实了肺循环重新分布,但通气不足的肺区域的灌注仍然存在,导致静脉分流的产生和动物动脉血中氧张力的降低。

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