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离体充液大鼠肺的动态弹性和组织阻力

Dynamic elastance and tissue resistance of isolated liquid-filled rat lungs.

作者信息

Navajas D, Moretto A, Rotger M, Nagase T, Dallaire M J, Ludwig M S

机构信息

Meakins-Christie Laboratories, Royal Victoria Hospital, McGill University, Montreal, Quebec, Canada.

出版信息

J Appl Physiol (1985). 1995 Nov;79(5):1595-600. doi: 10.1152/jappl.1995.79.5.1595.

Abstract

The effect of the surface forces of the alveolar air-liquid interface on the dynamic behavior of lung tissue was investigated in five isolated liquid-filled rat lungs. The lungs were subjected to 0.04-Hz sinusoidal oscillation (1.5-ml tidal volume) at lung volume (VL) levels ranging from volume at zero pressure (V0) + 4 ml to V0 + 10 ml. Oscillations were performed at each VL after inflation of the lungs from V0. Alveolar pressure (PA) was measured with an alveolar capsule attached to the visceral pleura. Dynamic elastance (Edyn), tissue resistance (Rti), and hysteresivity [eta = Rti omega/Edyn, where omega is angular frequency (2 pi x frequency)] were computed from PA and VL changes. Edyn was 59.6 +/- 4.3 Pa/ml at V0 + 4 ml and varied little up to V0 + 7 ml. Thereafter, Edyn increased markedly with VL, reaching 102 +/- 16 Pa/ml at V0 + 10 ml. No significant difference was found between elastance computed from PA and that computed from pressure recorded at the airway opening. Rti was 35.2 +/- 3.6 Pa.s.ml-1 and exhibited a VL dependence similar to that of Edyn. As a result, eta was 0.16 and did not vary significantly in the explored VL range. We conclude that PA can be reliably measured in the liquid-filled lung by means of alveolar capsules. In the liquid-filled lung, Edyn was smaller than and eta was similar to values reported for air-filled lungs. Hence, surface tension accounts for a considerable part of elastance and Rti of the air-filled lung within the volume range of normal breathing.

摘要

在五个分离的充液大鼠肺中,研究了肺泡气液界面的表面力对肺组织动态行为的影响。肺在肺容积(VL)水平为零压力下的容积(V0)+ 4 ml至V0 + 10 ml范围内,承受0.04 Hz的正弦振荡(潮气量为1.5 ml)。在肺从V0充气后,在每个VL水平进行振荡。用附着在内脏胸膜上的肺泡囊测量肺泡压力(PA)。根据PA和VL的变化计算动态弹性(Edyn)、组织阻力(Rti)和滞后率[η = Rtiω/Edyn,其中ω是角频率(2π×频率)]。在V0 + 4 ml时,Edyn为59.6±4.3 Pa/ml,在V0 + 7 ml之前变化不大。此后,Edyn随VL显著增加,在V0 + 10 ml时达到102±16 Pa/ml。从PA计算的弹性与从气道开口处记录的压力计算的弹性之间未发现显著差异。Rti为35.2±3.6 Pa·s·ml-1,表现出与Edyn相似的VL依赖性。因此,η为0.16,在所探索的VL范围内没有显著变化。我们得出结论,通过肺泡囊可以在充液肺中可靠地测量PA。在充液肺中,Edyn小于充气肺中报道的值,而η与之相似。因此,在正常呼吸的容积范围内,表面张力占充气肺弹性和Rti的相当一部分。

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