Bachofen H, Gehr P, Weibel E R
J Appl Physiol Respir Environ Exerc Physiol. 1979 Nov;47(5):1002-10. doi: 10.1152/jappl.1979.47.5.1002.
To assess the influence of alterations of lung surfactant on the geometry of peripheral air spaces, the morphology of detergent-rinsed rabbit lungs was studied. In comparison to normal excised rabbit lungs, fixed in the same manner by vascular perfusion at different points on the deflation pressure-volume curve, the most important differences are as follows. 1) With decreasing lung volume there is a progressive collapse of alveoli; at low lung volume (40% of total lung capacity (TLC) (most alveoli are collapsed, and the air is contained in overextended ducts. 2) Accordingly, the alveolar surface area-to-volume ratio is considerably smaller in particular at medium and low lung volumes. 3) There is only a slight change of mean air-space curvature between 80 and 40% TLC. Hence, the results indicate that in detergent-rinsed lungs volume changes are brought about predominantly by recruitment and derecruitment of alveoli. It appears that both a normal surfactant and the mechanical interdependence within the fibrous continuum are required to maintain a normal respiratory surface area within the lung volume range of normal breathing.
为评估肺表面活性物质改变对肺外周气腔几何结构的影响,对用去污剂冲洗过的兔肺形态进行了研究。与通过在放气压力-容积曲线上不同点进行血管灌注以相同方式固定的正常离体兔肺相比,最重要的差异如下:1)随着肺容积减小,肺泡逐渐萎陷;在低肺容积时(总肺容量(TLC)的40%),大多数肺泡萎陷,空气存在于过度扩张的气道中。2)因此,特别是在中低肺容积时,肺泡表面积与体积之比显著减小。3)在TLC的80%至40%之间,平均气腔曲率仅有轻微变化。因此,结果表明在用去污剂冲洗过的肺中,容积变化主要是由肺泡的开放和关闭引起的。似乎正常的表面活性物质和纤维连续体内的机械相互依存关系对于在正常呼吸的肺容积范围内维持正常的呼吸表面积都是必需的。