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犬局部支气管动脉血流及支气管血管阻力的测量。

Measurement of regional bronchial arterial blood flow and bronchovascular resistance in dogs.

作者信息

Baile E M, Nelems J M, Schulzer M, Paré P D

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1982 Oct;53(4):1044-9. doi: 10.1152/jappl.1982.53.4.1044.

Abstract

Little is known about normal variations and control of bronchial blood flow and bronchovascular resistance. We have used the reference-flow technique and 15-microns-diameter microspheres to measure bronchial blood flow under physiological conditions. Dogs (n = 13) were anesthetized and ventilated, and their chests were opened. A ligature was placed loosely around the left main pulmonary artery, and the left atrium was cannulated. In six dogs three sets of microspheres were injected simultaneously into the left atrium, and in another seven dogs the three sets of microspheres were injected sequentially at 0.5-h intervals. Prior to each injection measurements of pulmonary arterial, left atrial, and aortic pressures, cardiac output, and blood gases were made. Five seconds after injection the left main pulmonary artery was transiently occluded to prevent recirculation. After the final injection, dogs were killed, the lungs were removed, and the parenchyma was stripped off the large and small airways of the left lung. Knowing the radioactivity in the trachea, bronchi, parenchyma, and in the reference flow blood and also the aortic and left atrial pressures, we calculated bronchial blood flow (ml X min-1 X g dry lung-1) and bronchovascular resistance (cmH2O X ml-1 X min X 100 g dry lung). Results showed that there were no significant differences between the three measurements of bronchial blood flow when microspheres were injected simultaneously or sequentially. Bronchial blood flow to the left lung was 0.4% of cardiac output; 55% of the total flow went to lung parenchyma and 45% to trachea and bronchi. Expressed as flow/g dry lung the greatest flow was to the airways.

摘要

关于支气管血流和支气管血管阻力的正常变异及调控,目前所知甚少。我们采用参考流量技术和直径为15微米的微球来测量生理条件下的支气管血流。对13只狗进行麻醉并通气,然后打开胸腔。在左主肺动脉周围宽松地放置一条结扎线,并将左心房插管。在6只狗中,将三组微球同时注入左心房,在另外7只狗中,三组微球以0.5小时间隔依次注入。在每次注射前,测量肺动脉压、左心房压、主动脉压、心输出量和血气。注射后5秒,短暂阻断左主肺动脉以防止再循环。最后一次注射后,处死狗,取出肺脏,将实质组织从左肺的大小气道上剥离。已知气管、支气管、实质组织以及参考流量血液中的放射性,还有主动脉压和左心房压,我们计算了支气管血流(毫升×分钟-1×克干肺-1)和支气管血管阻力(厘米水柱×毫升-1×分钟×100克干肺)。结果表明,微球同时或依次注射时,三次支气管血流测量结果之间无显著差异。左肺的支气管血流占心输出量的0.4%;总血流的55%流向肺实质,45%流向气管和支气管。以每克干肺的流量表示,气道的流量最大。

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