Clerici C, Macquin I, Lhoste F, Atlan G, Harf A
Bull Eur Physiopathol Respir. 1985 Jul-Aug;21(4):369-74.
Intravenous infusion of histamine has been shown to constrict smooth muscle of alveolar ducts. In this study, we have assessed the effects of a prolonged infusion of histamine to obtain a steady state response on quasistatic pressure-volume curves (P-V curves) together with the changes in dynamic compliance (Cdyn) and conductance (G) of the respiratory system. Increasing doses of histamine were given in order to obtain the dose-response characteristics of the changes in Cdyn, G and P-V curves. In nine anesthetized guinea-pigs under mechanical ventilation, administration of histamine resulted in a fall in Cdyn and G with a decrease of 50% of initial value approximately for 150 ng X kg-1 X s-1 of histamine. Modifications of the P-V curves were characterized by a decrease in the maximal volume, and an increase in the hysteresis of the P-V loop due to the downward displacement of the inflation limb. With infusion of histamine, there was a large decrease of quasi-static compliance which appeared to account for most of the decrease in dynamic compliance. Such changes in P-V curves can be related both to a closure of alveolar ducts and to an alteration of lung distensibility. Comparison of the dose-response curves for the different parameters indicated that Cdyn and G reflect, at least in part, events occurring in the periphery of the lung.
静脉注射组胺已被证明会使肺泡管的平滑肌收缩。在本研究中,我们评估了长时间输注组胺以获得稳态反应对准静态压力-容积曲线(P-V曲线)的影响,以及呼吸系统动态顺应性(Cdyn)和传导率(G)的变化。给予递增剂量的组胺以获得Cdyn、G和P-V曲线变化的剂量反应特性。在9只机械通气的麻醉豚鼠中,给予组胺导致Cdyn和G下降,当组胺剂量约为150 ng·kg-1·s-1时,Cdyn和G约下降至初始值的50%。P-V曲线的改变表现为最大容积减小,以及由于充气支向下移位导致P-V环滞后增加。输注组胺时,准静态顺应性大幅下降,这似乎是动态顺应性下降的主要原因。P-V曲线的这种变化可能与肺泡管关闭和肺扩张性改变有关。不同参数剂量反应曲线的比较表明,Cdyn和G至少部分反映了肺外周发生的事件。