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不同肺膨胀水平下犬的肺死腔和气道尺寸

Pulmonary dead space and airway dimensions in dogs at different levels of lung inflation.

作者信息

Schulz A, Schulz H, Heilmann P, Brand P, Heyder J

机构信息

Forschungszentrum für Umwelt und Gesundheit, Projekt Inhalation, Neuherberg, Oberschleissheim, Germany.

出版信息

J Appl Physiol (1985). 1994 May;76(5):1896-902. doi: 10.1152/jappl.1994.76.5.1896.

Abstract

The quasi-stationary front that separates inspired gas from mixed alveolar gas is largely determined by the balance between diffusive and convective forces of gas transport. To investigate parameters influencing this balance, a study was performed on eight anesthetized ventilated beagle dogs. Measurements were made of the volume of pulmonary dead space corresponding to four end-inspiratory lung volumes. Aerosol recovery techniques were used to determine airway sizes at lung depths corresponding to those respective dead space volumes as well as at fixed volumetric depths between 70 and 250 ml. Mean dead space volumes as measured by a single inhalation of He (and SF6) were 112 +/- 15 (SD) ml (127 +/- 15 ml), 120 +/- 18 ml (137 +/- 20 ml), 127 +/- 18 ml (145 +/- 20 ml), and 133 +/- 19 ml (155 +/- 21 ml) at end-inspiratory lung volumes of 64, 71, 79, and 86%, respectively, of total lung capacity. At fixed lung depths the airway diameters increased with higher levels of lung inflation. However, airway diameters "at the end of the dead space" did not change significantly. They were approximately 0.5 mm for SF6 dead space and approximately 0.75 mm for He dead space. These findings support the theoretical prediction that the position of the diffusion front during breathing is strongly dependent on airway geometry and much less dependent on parameters of the breathing maneuver.

摘要

将吸入气体与肺泡混合气体分隔开的准静态前沿很大程度上由气体传输的扩散力和对流力之间的平衡决定。为了研究影响这种平衡的参数,对八只麻醉通气的比格犬进行了一项研究。测量了对应于四个吸气末肺容积的肺死腔容积。采用气溶胶回收技术来确定与这些各自死腔容积相对应的肺深度处以及70至250毫升之间固定容积深度处的气道大小。通过单次吸入氦气(和六氟化硫)测量的平均死腔容积在吸气末肺容积分别为肺总量的64%、71%、79%和86%时为112±15(标准差)毫升(127±15毫升)、120±18毫升(137±20毫升)、127±18毫升(145±20毫升)和133±19毫升(155±21毫升)。在固定的肺深度处,气道直径随着肺膨胀程度的增加而增大。然而,“死腔末端”的气道直径没有显著变化。六氟化硫死腔的气道直径约为0.5毫米,氦气死腔的气道直径约为0.75毫米。这些发现支持了理论预测,即呼吸过程中扩散前沿的位置强烈依赖于气道几何形状,而对呼吸动作参数的依赖程度要小得多。

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