Lauzon A M, Dechman G, Bates J H
Meakins-Christie Laboratories, McGill University, Montreal, Quebec, Canada.
Respir Physiol. 1995 Jan;99(1):139-46. doi: 10.1016/0034-5687(94)00087-g.
Using the alveolar capsule technique, we studied the time courses of respiratory mechanical parameters at various sites on the lung surface during bronchoconstriction. Six mongrel dogs were anesthetized, tracheostomized, paralyzed and artificially ventilated (12-25 ml/kg, 19-22 breaths/min). Sternotomy was performed and alveolar capsules were glued to various parts of the lungs. Tracheal pressure and flow and alveolar pressure were measured continuously for 25 min after i.v. bolus injections of histamine (0, 0.05, 0.5, 5.0, 50.0 mg). The challenges were spaced 1 h apart. Estimates of lung tissue resistance and elastance were obtained with our recursive least-squares estimator (Lauzon and Bates, J. Appl. Physiol., 1159-1165, 1991). We found that the time courses of the parameters of most capsules were initially uniform but quickly diverged as bronchoconstriction developed. Also, we found that the differences in time course of mechanics between alveolar regions either developed randomly with step-like features presumably reflecting intermittent opening and closing of the airways leading to the various alveolar capsules, or in a progressive dose-dependent manner, possibly reflecting a gradual but structurally pre-set pattern of bronchoconstriction, or with a combination of these two patterns. We explain our results in terms of inhomogeneous mechanical properties of the lungs and examine some artifacts introduced by the alveolar pressure measurement technique.
我们采用肺泡囊技术,研究了支气管收缩期间肺表面不同部位呼吸力学参数的时程。对6只杂种犬进行麻醉、气管切开、麻痹并实施人工通气(12 - 25 ml/kg,19 - 22次/分钟)。进行胸骨切开术,并将肺泡囊粘贴到肺的各个部位。静脉推注组胺(0、0.05、0.5、5.0、50.0 mg)后,连续25分钟测量气管压力、流量和肺泡压力。两次刺激间隔1小时。使用我们的递归最小二乘估计器(Lauzon和Bates,《应用生理学杂志》,1159 - 1165,1991年)获得肺组织阻力和弹性的估计值。我们发现,大多数肺泡囊参数的时程最初是一致的,但随着支气管收缩的发展迅速发散。此外,我们发现肺泡区域之间力学时程的差异要么随机出现,具有阶梯状特征,大概反映了通向各个肺泡囊的气道间歇性开放和关闭;要么以剂量依赖性方式逐渐出现,可能反映了支气管收缩的逐渐但结构上预先设定的模式;或者是这两种模式的组合。我们根据肺的不均匀力学特性来解释我们的结果,并研究肺泡压力测量技术引入的一些假象。