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切除的犬肺支气管塌陷过程中的支气管长度和直径变化

Bronchial length and diameter behavior during bronchial collapse in excised dog lungs.

作者信息

Nakamura M, Sasaki H, Takishima T, Hildebrandt J

出版信息

Respir Physiol. 1981 Feb;43(2):107-16. doi: 10.1016/0034-5687(81)90003-7.

Abstract

We compared changes in bronchial diameters (Dbr) and lengths (Lbr) in six excised dog lobes at 4 volume levels during deflation from 30 cm H2O under two conditions. First, intrabronchial and alveolar pressures were kept equal to zero during lung deflation; then, bronchial collapse was induced by negative intrabronchial pressure at several constant lung volumes. During the two procedures the major intrapulmonary bronchi were isolated from the rest of the lung by 10-15 beads blocking all tributary bronchi as previously described. Lbr was estimated with a linear displacement transducer connected by a thin rod to the most distal bead. Mean Dbr was calculated from Lbr and bronchial volume at each lung recoil pressure (PL) and at each intrabronchial pressure (Pbr). When PL decreased from full inflation in Condition 1, Dbr and Lbr decreased almost proportionately; however, in Condition 2 when PL (and thus lung volume) was kept constant and Pbr was reduced from 0 to -80 cm H2O, Lbr was reduced by only 5% (mean) whereas Dbr was reduced by 70% (mean) from initial near-homogeneous values. This suggested that, due to the interdependence in intact lungs, Lbr in intact lungs is almost constrained by changes in lung volume. By contrast, Dbr can undergo large reductions and the stiffness of intact bronchi is related mainly to PL. Thus, the intact bronchus has some of the characteristics of a thick-walled cylinder (where the wall includes surrounding parenchyma) in which longitudinal strain is small by comparison with circumferential strain.

摘要

我们比较了在两种条件下,六个切除的犬肺叶从30 cm H₂O放气至4个容积水平时支气管直径(Dbr)和长度(Lbr)的变化。首先,在肺放气过程中,支气管内和肺泡压力保持为零;然后,在几个恒定肺容积下通过支气管内负压诱导支气管塌陷。在这两个过程中,如前所述,通过10 - 15颗珠子阻塞所有分支支气管,将主要的肺内支气管与肺的其余部分隔离开来。Lbr通过一个线性位移传感器进行估计,该传感器通过一根细杆连接到最远端的珠子上。在每个肺回缩压力(PL)和每个支气管内压力(Pbr)下,根据Lbr和支气管容积计算平均Dbr。在条件1中,当PL从完全充气状态降低时,Dbr和Lbr几乎成比例下降;然而,在条件2中,当PL(以及肺容积)保持恒定且Pbr从0降至 - 80 cm H₂O时,Lbr仅降低了5%(平均值),而Dbr从初始的接近均匀值降低了70%(平均值)。这表明,由于完整肺中存在相互依存关系,完整肺中的Lbr几乎受肺容积变化的限制。相比之下,Dbr可大幅降低,完整支气管的硬度主要与PL有关。因此,完整支气管具有一些厚壁圆柱体(其壁包括周围实质)的特征,其中纵向应变与周向应变相比很小。

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