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弹性蛋白酶和通气对离体犬肺弹性回缩的影响。

Effect of elastase and ventilation on elastic recoil of excised dog lungs.

作者信息

Polzin J K, Napier J S, Taylor J C, Rodarte J R

出版信息

Am Rev Respir Dis. 1979 Mar;119(3):377-81. doi: 10.1164/arrd.1979.119.3.377.

Abstract

The effect of porcine pancreatic elastase and mechanical ventilation on tissue elastic recoil was examined in excised dog lung lobes. Lobes incubated for one hour with an elastase-buffer mixture showed a significant (P less than 0.001) left shift of the liquid-filled pressure-volume curve at all pressures measured (0 to 12 cm H2O) when compared to lobes treated with buffer only. These results suggest that the contribution of elastin to the elastic properties of lung tissue is greatest at mid-lung volumes, but that it also contributes to delimiting maximal lung volume. Elastase and buff-treated lobes were inflated cyclically with humidified air to a pressure of 20 cm H2O 6 times per min during a 16-hour period. This mechanical ventilation caused no further decrease of tissue elastic recoil. Ventilation did cause an unexpected increase in the elastic recoil of liquid-filled lobes that was significant at pressures of 4 cm H2O (P less than 0.025) or more (P less than 0.001). Elastase and buffer-treated lobes showed an almost identical rightward shift of the pressure-volume curve after ventilation when compared to the respective nonventilated control lobes. This increased recoil cannot be attributed to altered surface tension.

摘要

在切除的犬肺叶中研究了猪胰弹性蛋白酶和机械通气对组织弹性回缩的影响。与仅用缓冲液处理的肺叶相比,用弹性蛋白酶 - 缓冲液混合物孵育1小时的肺叶在所有测量压力(0至12 cm H₂O)下,充满液体的压力 - 容积曲线均出现显著左移(P < 0.001)。这些结果表明,弹性蛋白对肺组织弹性特性的贡献在肺中容积时最大,但它也有助于限定最大肺容积。在16小时内,将用弹性蛋白酶和缓冲液处理的肺叶用湿化空气以每分钟6次的频率循环充气至20 cm H₂O的压力。这种机械通气并未导致组织弹性回缩进一步降低。通气确实导致充满液体的肺叶弹性回缩意外增加,在4 cm H₂O或更高压力下显著(P < 0.025)(P < 0.001)。与各自未通气的对照肺叶相比,经弹性蛋白酶和缓冲液处理的肺叶在通气后压力 - 容积曲线几乎出现相同的右移。这种增加的回缩不能归因于表面张力的改变。

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