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新生哺乳动物呼吸系统的静力学

Statics of the respiratory system in newborn mammals.

作者信息

Fisher J T, Mortola J P

出版信息

Respir Physiol. 1980 Aug;41(2):155-72. doi: 10.1016/0034-5687(80)90049-3.

Abstract

The static mechanical properties of the respiratory system have been studied in newborn mammals within the first two weeks of life, ranging in body size from rat to piglet, and compared to the corresponding adult. Animals were supine, paralyzed, and passively ventilated. The pressure-volume curves of the respiratory system and of the lung have been constructed by changing volume a known amount and measuring the tracheal pressure before and after opening the rib cage. In the newborns, the mean elastic recoil pressure of the lung at functional residual capacity (PLFRC) is 1.9 cm H2O with no clear correlation with body weight. The dry lung weight (LW)/body weight (BW) ratio is greater in newborns than in adults and progressively decreases with age. FRC (measured directly with the saline displacement method) is proportional to LW1.09 and BW1.03. In newborns, lung compliance per lung weight (CL/LW) is similar between species (Cl alpha LW1.07). Chest wall compliance per body weight is also constant (CW alpha BW1.00). By comparing the newborns with the corresponding adults we found that PLFRC is 35-57% of the adult value. FRC/LW in the newborn is less than or equal to the adult value, while FRC/BW is generally larger in the newborn. CL/LW is usually smaller in the newborn than in the adult while CW/BW is larger.

摘要

已对出生后两周内的新生哺乳动物的呼吸系统静态力学特性进行了研究,这些新生哺乳动物的体型从大鼠到仔猪不等,并与相应的成年动物进行了比较。动物呈仰卧位,处于麻痹状态,并进行被动通气。通过将体积改变已知量并测量打开胸腔前后的气管压力,构建了呼吸系统和肺的压力-容积曲线。在新生儿中,功能残气量(FRC)时肺的平均弹性回缩压力(PLFRC)为1.9 cm H2O,与体重无明显相关性。新生儿的肺干重(LW)/体重(BW)比值高于成年人,并随年龄增长而逐渐降低。FRC(用盐水置换法直接测量)与LW1.09和BW1.03成正比。在新生儿中,不同物种之间每肺重量的肺顺应性(CL/LW)相似(Cl α LW1.07)。每体重的胸壁顺应性也恒定(CW α BW1.00)。通过将新生儿与相应的成年人进行比较,我们发现PLFRC为成年人值的35 - 57%。新生儿的FRC/LW小于或等于成年人值,而FRC/BW通常在新生儿中更大。新生儿的CL/LW通常比成年人小,而CW/BW则更大。

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