Nakamura M, Sasaki H, Sekizawa K, Ishii M, Takishima T, Hoppin F G
J Appl Physiol Respir Environ Exerc Physiol. 1981 Feb;50(2):325-33. doi: 10.1152/jappl.1981.50.2.325.
We studied the series distribution of collapsibility in four different-sized airways in dogs. The trachea and the extrapulmonary main bronchi in situ were isolated from the rest of the lungs by glued beads of 6-12 mm OD. In excised dog lungs, the intrapulmonary large and small bronchi were isolated from the rest of the lung by glued beads of 1-9 mm OD. Pressure-volume relationships were measured directly in the trachea and in the extrapulmonary bronchi; those of the intrapulmonary bronchi were derived from orthogonal bronchograms. Airway collapsibility, defined as the slope of the pressure-volume curve, was found to increase in all airways as transpulmonary pressure (PL) decreased. At PL 30 cmH2O there was little difference of airway collapsibility among the different sized airways; but, as PL decreased, the peripheral airways became more collapsible than the central airways. It is concluded that the tissues surrounding the trachea provided as much or more stiffness than did the lung tissues that surrounded the intrapulmonary airways. The larger collapsibility in the peripheral airways. The larger collapsibility in the peripheral airways relative to that of the central airways at lower PL may account for the peripheral migration of the flow-limiting segment during forced expiration.
我们研究了犬类四种不同大小气道的可塌陷性的系列分布情况。通过外径为6 - 12毫米的胶珠将原位的气管和肺外主支气管与肺的其余部分隔离开来。在切除的犬肺中,通过外径为1 - 9毫米的胶珠将肺内的大、小支气管与肺的其余部分隔离开来。直接测量气管和肺外支气管的压力 - 容积关系;肺内支气管的压力 -容积关系则从正交支气管造影片中得出。气道可塌陷性定义为压力 - 容积曲线的斜率,发现随着跨肺压(PL)降低,所有气道的可塌陷性均增加。在PL为30 cmH₂O时,不同大小气道之间的气道可塌陷性差异不大;但是,随着PL降低,外周气道比中央气道更易塌陷。得出的结论是,气管周围的组织提供的硬度与围绕肺内气道的肺组织提供的硬度一样多或更多。外周气道的可塌陷性更大。在较低PL时,外周气道相对于中央气道更大的可塌陷性可能解释了用力呼气过程中限流节段的外周迁移。