Sasaki H, Takishima T, Sasaki T
J Appl Physiol Respir Environ Exerc Physiol. 1977 May;42(5):699-705. doi: 10.1152/jappl.1977.42.5.699.
The main bronchi of excised dog lobes were obstructed 5-6 cm from their origin with beads, so that they did not communicate with the peripheral air spaces. With the lobe held at constant transpulmonary pressure, bronchial pressure-volume curves were recorded during both static and dynamic bronchial deflations. This was done both before and after dissecting the obstructed bronchus free of parenchymal attachments. The parenchymal contribution on dynamic deflation was much larger than the airway contribution: dynamic bronchial compliances in intact bronchi were 58 +- 8% and 65 +- 8% of the static at dynamic rates of bronchial deflation of 14 and 8 ml/s, respectively, whereas in dissected bronchi they were 72 +- 9% and 78 +- 9%. These relationships were not influenced by changes of transpulmonary pressure applied to the lobar parenchyma. The parenchymal effect on dynamic bronchial compliance was analyzed in terms of parenchymal interdependence and bronchial stress adaptation. We concluded that the presence of lung parenchymal attachments significantly reduced dynamic bronchial collapsibility as compared to static collapsibility.
用珠子将切除的犬肺叶主支气管在距其起始处5 - 6厘米处阻塞,使其不与外周气腔相通。在肺叶保持恒定跨肺压的情况下,在静态和动态支气管萎陷过程中记录支气管压力-容积曲线。这在将阻塞的支气管从实质附着处游离之前和之后均进行。实质对动态萎陷的贡献远大于气道的贡献:在支气管动态萎陷速率分别为14和8毫升/秒时,完整支气管的动态支气管顺应性分别为静态顺应性的58±8%和65±8%,而在游离支气管中,它们分别为72±9%和78±9%。这些关系不受施加于肺叶实质的跨肺压变化的影响。从实质相互依存和支气管应力适应的角度分析了实质对动态支气管顺应性的影响。我们得出结论,与静态萎陷性相比,肺实质附着的存在显著降低了动态支气管的可塌陷性。