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氨茶碱对肺部区域灌注分布的影响。

Effect of aminophylline on regional perfusion distribution in the lungs.

作者信息

Isawa T, Teshima T, Hirano T, Shiraishi K, Matsuda T, Konno K

出版信息

Tohoku J Exp Med. 1979 Aug;128(4):345-53. doi: 10.1620/tjem.128.345.

DOI:10.1620/tjem.128.345
PMID:483302
Abstract

Using ten normal dogs, the right upper lobe of the lung was isolated in vivo by a balloon catheter and was artificially ventilated with nitrogen, air, 60% oxygen in nitrogen, and 60% oxygen and 20% carbon dioxide in nitrogen, while the rest of the lungs maintained a spontaneous breathing of ambient air. Aminophylline did not show a vasodilating action under severe alveolar hypoxia (PAO2: ca. 40 mmHg); on the contrary, it seemed to potentiate hypoxic pulmonary vasoconstriction. When the regional alveolar oxygen tension became less hypoxic (PAO2: ca. 70 mmHg) or higher than that in the rest of the lungs which spontaneously breathed ambient air, aminophylline showed a definite vasodilating action. Aminophylline also showed a vasodilating action in alveolar hypercapnia in the presence of alveolar hyperoxia.

摘要

使用十只正常犬,通过球囊导管在体内分离出右上肺叶,并用氮气、空气、氮气中60%氧气以及氮气中60%氧气和20%二氧化碳进行人工通气,而其余肺组织维持对环境空气的自主呼吸。在严重肺泡低氧(动脉血氧分压:约40 mmHg)情况下,氨茶碱未表现出血管舒张作用;相反,它似乎增强了低氧性肺血管收缩。当局部肺泡氧张力低氧程度减轻(动脉血氧分压:约70 mmHg)或高于其余自主呼吸环境空气的肺组织时,氨茶碱表现出明确的血管舒张作用。在存在肺泡高氧的情况下,氨茶碱在肺泡高碳酸血症时也表现出血管舒张作用。

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