Quan S F, Calkins J M, Waterson C K, Conahan T J, Hameroff S R, Otto C W
Crit Care Med. 1984 May;12(5):452-6. doi: 10.1097/00003246-198405000-00009.
Cine tantalum bronchograms were recorded from 7 pentobarbital-anesthetized dogs during spontaneous ventilation (SV), high-frequency jet ventilation (HFJV) at 3 frequencies, and intermittent positive-pressure ventilation (IPPV) at 3 combinations of tidal volume (VT) and rate. During SV and the 3 IPPV conditions, the percent inspiratory increase in the diameter of airways greater than 3 mm was the same as in airways less than 3 mm. With HFJV, the percent increase in the diameter of airways greater than 3 mm was twice that of smaller airways. Increases in airway diameter are proportional to transmural, and hence intraluminal airway pressure. These data, therefore, indicate that the contribution of intraluminal pressure changes to intrapulmonary gas transport in small airways during HFJV is less than with either SV or IPPV, and that mechanisms responsible for intrapulmonary gas transport in small conducting airways during HFJV are different than those associated with either SV or IPPV.
在7只戊巴比妥麻醉的犬自主通气(SV)、3种频率的高频喷射通气(HFJV)以及3种潮气量(VT)与频率组合的间歇正压通气(IPPV)过程中,记录了钽支气管造影动态影像。在自主通气和3种间歇正压通气条件下,直径大于3mm的气道吸气时直径增加百分比与直径小于3mm的气道相同。在高频喷射通气时,直径大于3mm的气道直径增加百分比是较小气道的两倍。气道直径的增加与跨壁压成正比,因此也与管腔内气道压力成正比。因此,这些数据表明,高频喷射通气期间管腔内压力变化对小气道肺内气体传输的贡献小于自主通气或间歇正压通气,并且高频喷射通气期间小传导气道内肺内气体传输的机制与自主通气或间歇正压通气相关机制不同。