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高频通气期间犬肺气道内的气体混合

Gas mixing in the airways of dog lungs during high-frequency ventilation.

作者信息

Knopp T J, Kaethner T, Meyer M, Rehder K, Scheid P

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1983 Oct;55(4):1141-6. doi: 10.1152/jappl.1983.55.4.1141.

Abstract

Washout of insoluble inert test gases of different diffusivity (He and SF6 or He and Ar) from dog lungs was studied during high-frequency ventilation (HFV). Test gas equilibrium and subsequent washout were performed with HFV, succeeding measurements being performed at different stroke volumes (1.5-2.5 ml/kg body wt), oscillation frequencies (10-30 Hz), and with different lung volumes (32-74 ml X kg-1). Test gas concentrations were continuously measured by a mass spectrometer. The time course of washout could be described as the sum of two exponentials. There were no consistent differences in the time courses of washout between He and SF6 or between He and Ar. It is concluded that gas mixing in the airways during HFV is not significantly limited by diffusion, and this is suggested to apply during HFV to steady-state transport of respiratory gases (e.g., O2 and CO2) as well as to the transient state of inert gas washout.

摘要

在高频通气(HFV)期间,研究了不同扩散率的不溶性惰性测试气体(氦气和六氟化硫或氦气和氩气)从犬肺中的清除情况。使用高频通气进行测试气体平衡及随后的清除,后续测量在不同的潮气量(1.5 - 2.5 ml/kg体重)、振荡频率(10 - 30 Hz)以及不同肺容积(32 - 74 ml×kg⁻¹)下进行。通过质谱仪连续测量测试气体浓度。清除的时间进程可用两个指数之和来描述。氦气与六氟化硫之间或氦气与氩气之间的清除时间进程没有一致的差异。得出的结论是,高频通气期间气道内的气体混合不受扩散的显著限制,这表明在高频通气期间,对于呼吸气体(如氧气和二氧化碳)的稳态传输以及惰性气体清除的瞬态情况均适用。

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