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[利用静态压力-容积关系估计肺结缔组织总量——理论方法]

[Use of static pressure-volume relations to estimate the total amount of pulmonary connective tissue--theoretical approach].

作者信息

Min K Y

机构信息

First Department of Internal Medicine, Osaka Medical College, Japan.

出版信息

Nihon Kyobu Shikkan Gakkai Zasshi. 1995 Oct;33(10):1031-7.

PMID:8544372
Abstract

There is no accepted way to estimate the amount of connective tissue in the lungs in vivo. I propose an equation for estimating the total amount of pulmonary connective tissue from static pressure-volume relations. The stress-strain relations of pulmonary connective tissue were assumed to be describable by a non-linear exponential function: f = exp(ax)-1, where "f" is stress, "x" is strain, and "a" is Young's modulus of elasticity. The connective tissue elements were assumed to be distributed randomly in orientation within a pulmonary lobule, and the bodies of a pulmonary lobule were assumed to be packed in "equilibrium space division", as proposed by Suwa (1981). Stochastic geometry for elastic elements in the lung was used to obtain a set of equations describing the static pressure-volume relationship, such that P = (0.12 zeta 0/3V0) x [exp(ax)/(1 + x)2] and V = V0 (1 + x)3, where V0 is a reference lung volume in a perfectly relaxed state and zeta 0 is the total amount of connective tissue in the pulmonary parenchyma. This new model can accommodate static pressure-volume relations of human subjects in the range of relatively high lung volumes reported by Turner et al. (J App Physiol 25: 664, 1968), by Corbin et al. (Am Rev Respir Dis 120: 293, 1979), and by Finucane et al. (J App Physiol 26: 330, 1969). In conclusion, the total amount of connective tissue in lung parenchyma can be estimated with this new model of the static pressure-volume relationship at relatively high lung volumes.

摘要

目前尚无在体估计肺中结缔组织含量的公认方法。我提出了一个根据静态压力 - 容积关系估算肺结缔组织总量的方程。假定肺结缔组织的应力 - 应变关系可用非线性指数函数描述:f = exp(ax) - 1,其中“f”为应力,“x”为应变,“a”为杨氏弹性模量。假定结缔组织成分在肺小叶内随机分布,且肺小叶实体按Suwa(1981年)提出的“平衡空间分割”方式排列。利用肺中弹性成分的随机几何学得到一组描述静态压力 - 容积关系的方程,即P = (0.12 ζ0 / 3V0) × [exp(ax) / (1 + x)²] 以及V = V0 (1 + x)³,其中V0是完全松弛状态下的参考肺容积,ζ0是肺实质中结缔组织的总量。这个新模型能够拟合Turner等人(《应用生理学杂志》25: 664, 1968年)、Corbin等人(《美国呼吸与危重症医学杂志》120: 293, 1979年)以及Finucane等人(《应用生理学杂志》26: 330, 1969年)报道的相对高肺容积范围内人体受试者的静态压力 - 容积关系。总之,利用这个静态压力 - 容积关系的新模型能够在相对高肺容积时估算肺实质中结缔组织的总量。

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