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采用连续团注给药法评估人体肺部吸入颗粒的区域沉积情况。

Assessment of regional deposition of inhaled particles in human lungs by serial bolus delivery method.

作者信息

Kim C S, Hu S C, DeWitt P, Gerrity T R

机构信息

Human Studies Division, National Health and Environmental Effects Research Laboratory, US Environmental Protection Agency, Research Triangle Park 27711, USA.

出版信息

J Appl Physiol (1985). 1996 Nov;81(5):2203-13. doi: 10.1152/jappl.1996.81.5.2203.

Abstract

Detailed regional deposition of inhaled particles was investigated in young adults (n = 11) by use of a serial bolus aerosol delivery technique. A small bolus (45 ml half-width) of monodisperse aerosols [1-, 3-, and 5-microns particle diameter (Dp)] was delivered sequentially to a specific volumetric depth of the lung (100-500 ml in 50-ml increments), while the subject inhaled clean air via a laser aerosol photometer (25-ml dead volume) with a constant flow rate (Q = 150, 250, and 500 ml/s) and exhaled with the same Q without a pause to the residual volume. Deposition efficiency (LDE) and deposition fraction in 10 local volumetric regions and total deposition fraction of the lung were obtained. LDE increased monotonically with increasing lung depth for all three Dp. LDE was greater with smaller Q values in all lung regions. Deposition was distributed fairly evenly throughout the lung regions with a tendency for an enhancement in the distal lung regions for Dp = 1 micron. Deposition distribution was highly uneven for Dp = 3 and 5 microns, and the region of the peak deposition shifted toward the proximal regions with increasing Dp. Surface dose was 1-5 times greater in the small airway regions and 2-17 times greater in the large airway regions than in the alveolar regions. The results suggest that local or regional enhancement of deposition occurs in healthy subjects and that the local enhancement can be an important factor in health risk assessment of inhaled particles.

摘要

采用连续团注气溶胶输送技术,对11名年轻成年人吸入颗粒的详细区域沉积情况进行了研究。将一小团(半宽45毫升)单分散气溶胶[粒径(Dp)为1、3和5微米]依次输送到肺部特定的容积深度(以50毫升增量从100毫升至500毫升),同时受试者通过激光气溶胶光度计(死腔容积25毫升)以恒定流速(Q = 150、250和500毫升/秒)吸入清洁空气,并以相同的Q值呼气至残气量,无停顿。获得了10个局部容积区域的沉积效率(LDE)和沉积分数以及肺部的总沉积分数。对于所有三种Dp,LDE均随肺深度增加而单调增加。在所有肺区域中,较小的Q值时LDE更大。沉积在整个肺区域分布相当均匀,对于Dp = 1微米,在远端肺区域有增加的趋势。对于Dp = 3和5微米,沉积分布高度不均匀,且随着Dp增加,沉积峰值区域向近端区域移动。小气道区域的表面剂量比肺泡区域大1 - 5倍,大气道区域比肺泡区域大2 - 17倍。结果表明,健康受试者中会出现局部或区域沉积增强,且这种局部增强可能是吸入颗粒健康风险评估中的一个重要因素。

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