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啰音的波形和频谱分析。

Waveform and spectral analysis of crackles.

作者信息

Mori M, Kinoshita K, Morinari H, Shiraishi T, Koike S, Murao S

出版信息

Thorax. 1980 Nov;35(11):843-50. doi: 10.1136/thx.35.11.843.

Abstract

Crackles were recorded from six patients, four with tuberculosis and two with chronic bronchitis. It was observed by waveform and spectral analysis that most of the frequency components of a crackle were limited within a range of 0.1 to 1 kHz. Characteristically, waveforms of crackles were separable into two segments, initial "starting segments" and subsequent "decay segments." It is suggested that the former represents a shock wave caused by an abrupt opening of the airway and that the latter is a damped sinusoid caused by this shock wave exciting a resonator in the lung. It is speculated that the starting segment is determined by the pressure ratio at the site of the airway opening, and the decay segment by the resonant frequency and the quality factor of the resonator. Because transmission of a crackle is highly directional the waveforms recorded on the chest wall are modified by the positional relationship between the sound source and the microphone.

摘要

对六名患者进行了啰音记录,其中四名患有肺结核,两名患有慢性支气管炎。通过波形和频谱分析观察到,啰音的大部分频率成分限制在0.1至1千赫兹的范围内。啰音的波形特征性地可分为两个部分,初始的“起始段”和随后的“衰减段”。有人认为,前者代表气道突然开放引起的冲击波,后者是由该冲击波激发肺内谐振器产生的阻尼正弦波。据推测,起始段由气道开口处的压力比决定,衰减段由谐振器的共振频率和品质因数决定。由于啰音的传播具有高度方向性,因此胸壁上记录的波形会因声源与麦克风之间的位置关系而改变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf25/471395/688c0b83ef80/thorax00179-0049-a.jpg

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