Ayappa I, Brown L V, Wang P M, Lai-Fook S J
Center for Biomedical Engineering, University of Kentucky, Lexington 40506, USA.
J Appl Physiol (1985). 1995 Jul;79(1):261-9. doi: 10.1152/jappl.1995.79.1.261.
Transit time and relative dispersion of the arterial, capillary, and venous segments of the pulmonary circulation were measured in isolated perfused rabbit lungs. Fluorescence videomicroscopy was used to record the passage of dye through the main pulmonary artery, subpleural microcirculation, and venous outflow. Dye dilution curves were obtained at the main pulmonary artery, subpleural arterioles and venules, and pulmonary vein. Measurements were made at 5-cmH2O airway pressure, at blood flows of approximately 80, 50, and 25 ml.min-1.kg-1, and at left atrial pressures of approximately 0 cmH2O (zone 2) and approximately 12 cmH2O (zone 3). The dye dilution curves were modeled as lagged normal density curves that were used to calculate transit time and relative dispersion between the pulmonary artery and arteriole (artery), arteriole and venule (capillary), venule and pulmonary vein (vein), and pulmonary artery and pulmonary vein (whole lung). In open-chest anesthetized dogs, the passage of dye was recorded from the subpleural arterioles and venules between the seventh and eighth ribs in the left lateral position. At comparable blood flows, capillary transit time was larger in the dog than in the rabbit lung [3.4 +/- 2.4 (SD) vs. 0.87 +/- 0.47 s]. In the rabbit lung, relative dispersion was greater in pulmonary capillaries (average values 0.83-1.6) and veins (0.91-1.6) than in arteries (0.39-0.50), which was similar to the whole lung dispersion (0.47-0.52). A similarly high dispersion (0.93) was measured in the dog's pulmonary capillaries. Thus high dispersion in pulmonary capillaries and veins cannot be detected by whole lung dispersion measurements.
在离体灌注兔肺中测量了肺循环动脉段、毛细血管段和静脉段的转运时间及相对离散度。采用荧光视频显微镜记录染料通过主肺动脉、胸膜下微循环和静脉流出道的过程。在主肺动脉、胸膜下小动脉和小静脉以及肺静脉处获得染料稀释曲线。测量是在气道压力为5 cmH₂O、血流约为80、50和25 ml·min⁻¹·kg⁻¹以及左心房压力约为0 cmH₂O(2区)和约12 cmH₂O(3区)的条件下进行的。染料稀释曲线被模拟为滞后正态密度曲线,用于计算肺动脉与小动脉(动脉)、小动脉与小静脉(毛细血管)、小静脉与肺静脉(静脉)以及肺动脉与肺静脉(全肺)之间的转运时间和相对离散度。在开胸麻醉犬中,记录左侧卧位第7和第8肋骨之间胸膜下小动脉和小静脉中染料的通过情况。在可比血流条件下,犬的毛细血管转运时间比兔肺中的长[3.4±2.4(标准差)对0.87±0.47秒]。在兔肺中,肺毛细血管(平均值0.83 - 1.6)和静脉(0.91 - 1.6)的相对离散度大于动脉(0.39 - 0.50),这与全肺离散度(0.47 - 0.52)相似。在犬的肺毛细血管中测得的离散度同样较高(0.93)。因此,通过全肺离散度测量无法检测到肺毛细血管和静脉中的高离散度。