Santos M A, Santos R L, Sakae R S, Saldiva P H, Zin W A
Instituto de Biofísica Carlos Chagas Filho, Universidade Federal do Rio de Janeiro, Brasil.
Braz J Med Biol Res. 1996 Jan;29(1):53-9.
Respiratory system, lung, and chest wall resistances and dynamic elastances were determined in six anesthetized, paralyzed, and mechanically ventilated guinea pigs both before and after lower transversal abdominal opening performed at the level of the spina iliaca anterosuperior. Furthermore, the resistances were also split into their two components, one reflecting the Newtonian resistances and the other representing the viscoelastic/inhomogeneous pressure dissipations in the system. The method of end-inflation occlusion during constant inspiratory flow was used. Chest wall configuration was also evaluated by measurements of lateral and anteroposterior diameters and circumferences at the 4th intercostal space and xiphoid levels both at functional residual capacity and at the end of tidal inspiration before and after surgery. After abdominal incision no statistically significant changes could be detected in any of the measured variables. It may be concluded that lower transversal abdominal opening does not alter respiratory mechanics.
在六只麻醉、麻痹并接受机械通气的豚鼠身上,于髂前上棘水平进行下腹部横向开口手术前后,测定了呼吸系统、肺以及胸壁的阻力和动态弹性。此外,阻力还被分解为两个分量,一个反映牛顿阻力,另一个代表系统中的粘弹性/非均匀压力耗散。采用了在恒定吸气流量期间进行终末充气阻断的方法。通过测量手术前后在功能残气量以及潮气量吸气末时第4肋间间隙和剑突水平的横向和前后径及周长,对胸壁形态进行了评估。腹部切开后,在任何测量变量中均未检测到统计学上的显著变化。可以得出结论,下腹部横向开口不会改变呼吸力学。