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切除的兔肺中的气体潴留取决于容积历史和排气方法。

Gas trapping in excised rabbit lungs depends on volume history and method of degassing.

作者信息

Hida W, Lamm W J, Hildebrandt J

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1984 Mar;56(3):596-601. doi: 10.1152/jappl.1984.56.3.596.

DOI:10.1152/jappl.1984.56.3.596
PMID:6706768
Abstract

Trapped gas volume (Vtg) was obtained after 5 and 10 repeated inflation-deflation cycles between transpulmonary pressure (Ptp) = 0 and 30 cmH2O in 12 experimental groups of freshly excised rabbit lungs. Gas flow rate was 1.0 ml/s except in one group (0.4 ml/s). In lungs degassed by O2 absorption (Dabs), Vtg increased from an initial 12-15% total lung capacity (TLC) (1st cycle) to 40% TLC (10th cycle), whereas in vacuum-degassed lungs (Dvac) the final Vtg was almost unchanged, remaining at less than 20% TLC. However, with the slower flow rate, Vtg in Dvac became 60% TLC. Increased lung water was not found in Dabs and therefore could not account for the above difference. In lungs not degassed after excision, Vtg increased roughly in proportion to the duration of passive collapse at Ptp = 0. However, a single brief exposure to a negative airway pressure (Pao = -10 cmH2O) resulted in a greater rate of increase of Vtg than 15-min collapse. When any of the foregoing groups were vacuum degassed after 5 cycles, they then resembled the Dvac group and showed almost no increase of Vtg in successive cycles. In Dvac, negative Pao and 15-min collapse had only minor effects on increasing Vtg. Thus, at a flow rate of 1 ml/s vacuum degassing almost eliminated all tendencies to trap gas in rabbit lungs, but the tendency was more than restored at slower flows. Brief airway closure by negative tracheal pressure can markedly enhance subsequent trapping of collapsed lungs. Differences arising from degassing methods might be due to effects on bronchomotor tone or on the physical characteristics of airway lining.

摘要

在12组新鲜切除的兔肺实验中,在跨肺压(Ptp)=0至30 cmH₂O之间进行5次和10次重复的充气-放气循环后,获得了滞留气体量(Vtg)。除一组(0.4 ml/s)外,气体流速为1.0 ml/s。在通过氧气吸收脱气的肺(Dabs)中,Vtg从初始的总肺容量(TLC)的12 - 15%(第1个循环)增加到TLC的40%(第10个循环),而在真空脱气的肺(Dvac)中,最终的Vtg几乎没有变化,保持在TLC的20%以下。然而,流速较慢时,Dvac中的Vtg变为TLC的60%。在Dabs中未发现肺含水量增加,因此无法解释上述差异。在切除后未脱气的肺中,Vtg大致与在Ptp = 0时被动萎陷的持续时间成比例增加。然而,单次短暂暴露于气道负压(Pao = -10 cmH₂O)导致Vtg的增加速率比15分钟萎陷更大。当上述任何一组在5个循环后进行真空脱气时,它们随后类似于Dvac组,并且在连续循环中Vtg几乎没有增加。在Dvac中,负压Pao和15分钟萎陷对增加Vtg的影响很小。因此,在流速为1 ml/s时,真空脱气几乎消除了兔肺中所有滞留气体的倾向,但在流速较慢时这种倾向会恢复。通过气管负压短暂关闭气道可显著增强随后萎陷肺的气体滞留。脱气方法产生的差异可能是由于对支气管运动张力或气道内衬物理特性的影响。

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