Mortola J P, Rossi A, Zocchi L
J Appl Physiol Respir Environ Exerc Physiol. 1984 Apr;56(4):948-53. doi: 10.1152/jappl.1984.56.4.948.
In the neonatal period, the incomplete aeration of the lung parenchyma and the presence of some pulmonary fluid could determine inequalities in the mechanical behavior of lung regions, favoring unevenness of ventilation distribution. We studied the pressure-volume (PV) curve of excised lungs of kittens in the 1st wk of life 1) by changing the volume a known amount and measuring the corresponding changes in transpulmonary pressure (PL) and 2) by ventilating them at a fixed PL at a rate of 20 cycles/min. An expiratory load equal to the value of PL at the resting volume of the respiratory system was added to avoid the collapse of the lung. A lobar bronchus was then tied, and the measurements were repeated. The difference in PV curves before and after ligature therefore represented the PV curve of the lobe. This was done for all the lobes (upper and middle right, lower right, lower left, upper left) in a random order. A total of 20 lungs and 61 lobes have been studied. Individual lobes were not different in terms of dry-to-wet weight ratio, compliance per unit weight, or per maximal volume and shape of the PV curve, indicating a similar mechanical behavior. Dynamic lung compliance averaged 76% +/- 15 SD of the static value, suggesting some degree of asynchronous behavior of lung regions or viscoelastic properties of the tissue.
在新生儿期,肺实质通气不完全以及存在一些肺液可能导致肺区域机械行为的不均衡,从而造成通气分布不均。我们对出生后第1周小猫的离体肺脏的压力-容积(PV)曲线进行了研究:1)通过将肺容积改变已知量,并测量跨肺压(PL)的相应变化;2)通过以20次/分钟的频率在固定的PL下对肺进行通气。为避免肺脏塌陷,施加了一个等于呼吸系统静息容积时PL值的呼气负荷。然后结扎一个肺叶支气管,并重复测量。因此,结扎前后PV曲线的差异代表了该肺叶的PV曲线。对所有肺叶(右上叶和中叶、右下叶、左下叶、左上叶)按照随机顺序进行此操作。总共研究了20个肺脏和61个肺叶。各个肺叶在干湿重量比、单位重量顺应性、或PV曲线的最大容积和形状方面并无差异,表明其机械行为相似。动态肺顺应性平均为静态值的76%±15 SD,提示肺区域存在一定程度的异步行为或组织的粘弹性特性。