Kim C S, Brown L K, Lewars G G, Sackner M A
J Appl Physiol Respir Environ Exerc Physiol. 1983 Jul;55(1 Pt 1):154-63. doi: 10.1152/jappl.1983.55.1.154.
Aerosol deposition and flow resistance in obstructed airways were determined from five mathematical and experimental airway models. The first three models were theoretical and based upon Weibel's symmetrical lung model with 1) uniform reduction of airway diameter in various groups of airway generations; 2) obstruction of a few major airways such that a severe uneven flow distribution occurs in the lung; 3) focal constriction of selected large airways. In model 3, an empirical formula was utilized to assess deposition and resistance in the constricted airways. The remaining two models were tested experimentally; 4) oscillation of a compliant wall in a straight tube and 5) two-phase gas-liquid flow utilizing human sputum in a rigid branching tube. In models 1, 2, and 3, airway resistance increased to a greater extent than did the increase of aerosol deposition except when small airways were obstructed in model 1. Here, the increase of aerosol deposition was slightly higher than the rise in airway resistance. A sharp increase of aerosol deposition with a minimal increase of flow resistance was demonstrated in models 4 and 5. These data indicate that aerosol deposition may be a more sensitive indicator of airway abnormalities than overall airway resistance in small airways obstruction, during oscillation of large and medium airway walls, and when excessive secretions within the airways move with a wave or slug motion.
通过五个数学和实验气道模型确定了阻塞气道中的气溶胶沉积和流动阻力。前三个模型是理论模型,基于韦贝尔的对称肺模型,分别为:1)在不同气道代组中均匀减小气道直径;2)阻塞少数主要气道,导致肺部出现严重的不均匀气流分布;3)对选定的大气道进行局部收缩。在模型3中,使用一个经验公式来评估收缩气道中的沉积和阻力。其余两个模型进行了实验测试:4)直管中顺应性壁的振荡;5)在刚性分支管中利用人体痰液进行气液两相流。在模型1、2和3中,气道阻力的增加幅度大于气溶胶沉积的增加幅度,但模型1中小气道阻塞时除外。此时,气溶胶沉积的增加略高于气道阻力的增加。在模型4和5中,气溶胶沉积急剧增加,而流动阻力增加最小。这些数据表明,在小气道阻塞、大中气道壁振荡以及气道内过多分泌物呈波浪状或团状移动时,气溶胶沉积可能比整体气道阻力更能敏感地指示气道异常。