Woolcock A J, Vincent N J, Macklem P T
J Clin Invest. 1969 Jun;48(6):1097-106. doi: 10.1172/JCI106066.
We selected five bronchitics and four asthmatics in remission, whose routine lung function tests were not significantly abnormal. Dynamic compliance was measured at different respiratory frequencies and the results compared with those obtained from a normal control group. In all patients compliance was frequency dependent and remained so after the administration of bronchodilator aerosols. Compliance was frequency dependent in only one normal subject, and this was completely reversed by bronchodilators. Because the elastic properties of the patients' lungs were normal, and because pulmonary resistance was normal or only minimally increased, we interpret these results as indicating obstruction in peripheral airways.
我们挑选了五名支气管炎患者和四名处于缓解期的哮喘患者,他们的常规肺功能测试并无明显异常。在不同呼吸频率下测量动态顺应性,并将结果与正常对照组的结果进行比较。所有患者的顺应性均与频率相关,且在使用支气管扩张气雾剂后依然如此。只有一名正常受试者的顺应性与频率相关,而支气管扩张剂可使其完全逆转。由于患者肺部的弹性特性正常,且肺阻力正常或仅略有增加,我们将这些结果解释为外周气道存在阻塞。