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犬单肺同种移植后的肺功能(作者译)

[Lung functions after single-lung homotransplantation in dogs (author's transl)].

作者信息

Salem G, Schlick W, Keiler A, Göber I, Möschl P, Glöckler M, Radaszkiewiez T h, Kreuzer W

出版信息

Wien Klin Wochenschr. 1975 Dec 26;87(24):823-7.

PMID:775802
Abstract

Unilateral homotransplantation of the lung was performed in ten healthy mongrel dogs. Assessment of pulmonary function was obtained immediately after transplantation ten days and four weeks postoperatively. A conventional endotracheal tube was used for measurement of total lung function. A special tube was deviced for bronchospirometric measurements in dogs. A moderate increase of tidal volume and marked increase of respiratory rate and minute ventilation could be noted immediately after transplantation. Oxygen consumption was not changed significantly. There was a marked decrease in arterial pO2-level following transplantation, which was improved during the follow-up studies and found within normal limits at the tenth postoperative day. Bronchospirometry immediately following transplantation revealed equal ventilation values of both lungs, but oxygen consumption of the transplant was reduced 50% compared to the recipient's own lung. On the tenth postoperative day ventilatory function of the transplant was found close to that of the recipients own lung. Oxygen consumption in respiratory equivalent at this time averaged two thirds of the animal's own lung. Four weeks following transplantation no further significant change of respiratory function could be noted.

摘要

对10只健康杂种犬进行了单侧肺同种移植。术后10天和4周移植后立即对肺功能进行评估。使用传统气管插管测量全肺功能。设计了一种特殊的导管用于犬的支气管肺量计测量。移植后立即可以观察到潮气量适度增加,呼吸频率和分钟通气量显著增加。氧耗没有明显变化。移植后动脉血氧分压水平显著降低,在随访研究期间有所改善,术后第10天恢复到正常范围。移植后立即进行的支气管肺量计检查显示双肺通气值相等,但移植肺的氧耗比受体自身肺降低了50%。术后第10天,移植肺的通气功能接近受体自身肺。此时呼吸当量中的氧耗平均为动物自身肺的三分之二。移植后4周,呼吸功能没有进一步的显著变化。

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