Gerrity T R, Garrard C S, Yeates D B
Br J Ind Med. 1983 May;40(2):121-30. doi: 10.1136/oem.40.2.121.
Knowledge of the total and regional lung retention of particles inhaled continuously by man over long periods can be useful in understanding the potential role of inhaled particles in the pathogenesis of lung diseases. Owing to practical and ethical considerations, however, little or no experimental information exists. A mathematical model of particle retention simulating environmental and occupational exposures has therefore been developed that takes into account particle deposition, tracheobronchial clearance, and two phases of alveolar clearance in the Weibel A anatomical lung model. The derived equations of retention kinetics predict retention of particles as a function of exposure time. For a continuous exposure (simulating environmental conditions) to 4 microns particles, the model predicts that retained particles approach an equilibrium between deposited and cleared particles with the 95% level being reached in 293 days. For an intermittent exposure (simulating occupational conditions) equilibrium is approached in five years. The whole lung burden of particles is predicted to be 9% of the total mass that entered the lung after a one-year environmental exposure and 1.5% after a 25-year occupational exposure. The equilibrium surface concentration and integrated dose of particles per airway generation predict enhanced risk to the pathogenic effects of inhaled particles in the large airways and respiratory bronchioles.
了解人体长期持续吸入颗粒的总量及在肺部各区域的沉积情况,有助于理解吸入颗粒在肺部疾病发病机制中的潜在作用。然而,出于实际和伦理方面的考虑,相关实验信息很少或几乎没有。因此,已开发出一种模拟环境和职业暴露的颗粒沉积数学模型,该模型在韦贝尔A肺解剖模型中考虑了颗粒沉积、气管支气管清除以及肺泡清除的两个阶段。推导得出的沉积动力学方程可预测颗粒沉积量与暴露时间的函数关系。对于持续暴露(模拟环境条件)于4微米颗粒的情况,该模型预测沉积颗粒与清除颗粒之间会达到平衡,在293天内达到95%的平衡水平。对于间歇性暴露(模拟职业条件),则需要五年时间达到平衡。预计经过一年的环境暴露后,肺部颗粒总量将占进入肺部总质量的9%,经过25年的职业暴露后为1.5%。每个气道层级的颗粒平衡表面浓度和累积剂量表明,大气道和呼吸性细支气管吸入颗粒致病的风险增加。