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犬高频通气期间气体运输的关系。

Relationship for gas transport during high-frequency ventilation in dogs.

作者信息

Venegas J G, Custer J, Kamm R D, Hales C A

出版信息

J Appl Physiol (1985). 1985 Nov;59(5):1539-47. doi: 10.1152/jappl.1985.59.5.1539.

Abstract

Alveolar ventilation during high-frequency ventilation (HFV) was estimated from the washout of the positron-emitting isotope (nitrogen-13-labeled N2) from the lungs of anesthetized paralyzed supine dogs by use of a positron camera. HFV was delivered at a mean lung volume (VL) equal to the resting functional residual capacity with a ventilator that generated tidal volumes (VT) between 30 and 120 ml, independent of the animal's lung impedance, at frequencies (f) from 2 to 25 Hz, with constant inspiratory and expiratory flows and an inspiration-to-expiration time ratio of unity. Specific ventilation (SPV), which is equivalent to ventilation per unit of compartment volume, was found to follow closely the relation: SPV = 1.9(VT/VL)2.1 X f. From this relation and from arterial PCO2 measurements we found an expression for the normocapnic settings of VT and f, given VL and body weight (W). We found that the VL was an important normalizing parameter in the sense that VT/VL yielded a better correlation (r = 0.91) with SPV/f than VT/W (r = 0.62) or VT alone (r = 0.8).

摘要

在高频通气(HFV)期间,通过使用正电子相机,根据正电子发射同位素(氮-13标记的N2)从麻醉、麻痹、仰卧的犬类肺部的洗脱情况来估算肺泡通气量。高频通气在平均肺容积(VL)等于静息功能残气量的情况下进行,使用的呼吸机产生的潮气量(VT)在30至120毫升之间,与动物的肺阻抗无关,频率(f)为2至25赫兹,吸气和呼气流量恒定,吸气与呼气时间比为1。比通气量(SPV),等同于单位腔室容积的通气量,被发现紧密遵循以下关系:SPV = 1.9(VT/VL)2.1 × f。根据此关系以及动脉血二氧化碳分压测量结果,我们得出了在已知VL和体重(W)的情况下,VT和f的正常碳酸血症设置表达式。我们发现,VL是一个重要的标准化参数,因为与单独的VT(r = 0.8)或VT/W(r = 0.62)相比,VT/VL与SPV/f的相关性更好(r = 0.91)。

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