Novotny J A, Parker E C, Survanshi S S, Albin G W, Homer L D
Naval Medical Research Institute, Bethesda, Maryland 20889-5055.
J Appl Physiol (1985). 1993 May;74(5):2127-34. doi: 10.1152/jappl.1993.74.5.2127.
Experiments demonstrate that the mean residence time of an inert gas in tissue is longer than that predicted by a single-compartment model of gas exchange. Also the relative dispersion (RD, the standard deviation of residence times divided by the mean) is 1 according to this model, but RDs in real tissues are closer to 2, suggesting that a multiple-compartment model might be more accurate. The residence time of a gas is proportional to its solubility in the tissue. Although the noble gases in particular are 10 times more soluble in lipid than in nonlipid tissues, models of gas exchange generally do not incorporate measurements of the lipid in tissue, which may lead to error in the predicted gas residence times. Could a multiple-compartment model that accounts for the lipid in tissue more accurately predict the mean and RD of gas residence times? In this study, we determined the mean and RD of Xe residence times in intact and surgically isolated muscles in a canine model. We then determined the lipid content and the perfusion heterogeneity in each tissue, and we used these measurements with a multiple-compartment model of gas exchange to predict the longest physiologically plausible Xe residence times. Even so, we found the observed Xe mean residence times to be twice as long as those predicted by the model. However, the predicted RDs were considerably larger than the observed RDs. We conclude that lipid alone cannot account for the residence times of Xe in tissue and that a multiple-compartment model is not an accurate representation of inert gas exchange in tissue.(ABSTRACT TRUNCATED AT 250 WORDS)
实验表明,惰性气体在组织中的平均停留时间比气体交换单室模型预测的要长。此外,根据该模型,相对离散度(RD,停留时间的标准差除以平均值)为1,但实际组织中的RD更接近2,这表明多室模型可能更准确。气体的停留时间与其在组织中的溶解度成正比。尽管特别是稀有气体在脂质中的溶解度比在非脂质组织中高10倍,但气体交换模型通常不纳入组织中脂质的测量,这可能导致预测的气体停留时间出现误差。一个考虑组织中脂质的多室模型能否更准确地预测气体停留时间的平均值和RD?在本研究中,我们在犬类模型中测定了完整和手术分离肌肉中氙停留时间的平均值和RD。然后我们测定了每个组织中的脂质含量和灌注异质性,并将这些测量值与气体交换多室模型一起用于预测生理上合理的最长氙停留时间。即便如此,我们发现观察到的氙平均停留时间是模型预测值的两倍。然而,预测的RD比观察到的RD大得多。我们得出结论,仅脂质不能解释氙在组织中的停留时间,并且多室模型不能准确表示组织中惰性气体的交换。(摘要截断于250字)