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通过气溶胶回收测量的气腔尺寸的体内滞后现象。

In vivo hysteresis of airspace dimensions measured by aerosol recovery.

作者信息

Bennett W D, Mitzner W

出版信息

Respir Physiol. 1987 Jan;67(1):85-99. doi: 10.1016/0034-5687(87)90008-9.

Abstract

In anesthetized mongrel dogs, we made measurements of single breath aerosol recovery (RC) at equal volume points on the inflation and deflation limb of the quasi-static pressure-volume (P-V) curve of the lungs. Using a 1.2 micron monodisperse aerosol, a large aerosol tidal volume (Vt), and a breathing period of 5 sec, we found that losses of particles were primarily due to sedimentation in pulmonary airspaces distal to anatomic dead space. Thus, the RC measurements could be related to a mean radius (R) of airspaces filled with aerosol over the course of the breath. Furthermore, at a given volume, differences between inflation and deflation limb RC could be attributed to differences in R for the two measurements (i.e., RI vs RD). We found that at isovolume, RC as measured from the inflation limb was larger than that measured from the deflation limb for low lung volumes (less than 0.75 TLC). However, the recoveries were similar as lung volume approached TLC (greater than 0.75 TLC). These results implied that at the same volume, RI greater than RD expect at volumes approaching TLC, i.e. a larger mean airspace dimension on the inflation limb than on the deflation limb at equal volume. The findings of this study support a model of nonuniform changes in airspace dimensions associated with in vivo inflation and deflation of the lungs.

摘要

在麻醉的杂种犬中,我们在肺的准静态压力-容积(P-V)曲线的充气和放气支的等容积点测量了单次呼吸气溶胶回收率(RC)。使用1.2微米的单分散气溶胶、较大的气溶胶潮气量(Vt)和5秒的呼吸周期,我们发现颗粒损失主要是由于在解剖学死腔远端的肺空域中沉降。因此,RC测量值可能与呼吸过程中充满气溶胶的空域的平均半径(R)有关。此外,在给定容积下,充气支和放气支RC之间的差异可归因于两次测量的R差异(即RI与RD)。我们发现,在等容积时,对于低肺容积(小于0.75 TLC),从充气支测量的RC大于从放气支测量的RC。然而,当肺容积接近TLC(大于0.75 TLC)时,回收率相似。这些结果表明,在相同容积下,除了在接近TLC的容积时,RI大于RD,即在等容积时充气支的平均空域尺寸大于放气支。本研究的结果支持了一种与肺的体内充气和放气相关的空域尺寸非均匀变化模型。

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