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人体中四氯乙烯的肺泡采样与快速动力学。II. 快速动力学。

Alveolar sampling and fast kinetics of tetrachloroethene in man. II. Fast kinetics.

作者信息

Opdam J J, Smolders J F

出版信息

Br J Ind Med. 1987 Jan;44(1):26-34. doi: 10.1136/oem.44.1.26.

Abstract

Fast kinetic phenomena were studied in human subjects exposed to tetrachloroethene (perchloroethylene, PER). The duration of exposure ranged from one to 60 minutes and the concentration of PER in inhaled air ranged from 0.02 to 0.40 mmol/m3. The PER concentration in mixed venous blood (pulmonary artery) was estimated by alveolar concentration (CAlv) measured after a residence time of 10 s. During exposure, stoppage of intake (breath holding up to 50 s) caused a decrease of CAlv down to about 60% of the CAlv at a residence time of 10 s. At the end of exposure, stoppage of intake (breathing fresh air) caused a decrease of CAlv with t1/2 = 15-25 s; after two to four minutes, the decrease slowed down abruptly and the concentration remained more or less constant for about one to three minutes. After this stationary level, the decrease of CAlv continued but at a slower rate. During and after exposure, the decrease of CAlv seems to be caused by large differences in the circulation times of blood flowing through rapid, well perfused tissues and slower, well perfused tissues which may explain the stationary level. From this point of view, the vessel rich group in a compartment model must be split up in order to predict tissue and organ concentrations during peak environmental concentrations.

摘要

对接触四氯乙烯(全氯乙烯,PER)的人体受试者的快速动力学现象进行了研究。暴露持续时间为1至60分钟,吸入空气中PER的浓度范围为0.02至0.40 mmol/m³。混合静脉血(肺动脉)中的PER浓度通过在10秒停留时间后测量的肺泡浓度(CAlv)进行估算。在暴露期间,停止吸入(屏气长达50秒)会导致CAlv下降至10秒停留时间时CAlv的约60%。暴露结束时,停止吸入(呼吸新鲜空气)会导致CAlv下降,t1/2 = 15 - 25秒;两到四分钟后,下降突然减缓,浓度在大约一到三分钟内或多或少保持恒定。在这个稳定水平之后,CAlv继续下降,但速度较慢。在暴露期间和之后,CAlv的下降似乎是由流经快速、灌注良好的组织和缓慢、灌注良好的组织的血液循环时间的巨大差异引起的,这可能解释了稳定水平。从这个角度来看,为了预测环境浓度峰值期间的组织和器官浓度,隔室模型中的富血管组必须分开。

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