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腹部负压对仰卧位犬肺局部容积的影响。

Effect of negative abdominal pressure on regional lung volumes in supine dogs.

作者信息

Lupi-Herrera E, Grassino A E, Anthonisen N R

出版信息

Respir Physiol. 1976 Apr;26(2):213-21. doi: 10.1016/0034-5687(76)90099-2.

Abstract

Using 133Xe we measured regional lung volumes from apex to base in supine dogs during the application of negative abdominal pressure (-50 cm H2O). Changes in rib cage shape were monitored with magnetometers. Negative abdominal pressure caused a decrease of 5% in the cross-sectional area of the upper rib cage and a decrease of 19% in the cross-sectional area of the lower rib cage. These changes were similar to those observed when the dog was tilted to the erect position. Over the 10 cm of lung examined, control measurements showed a mean apex-to-base gradient of 1.4% TLC/cm, apical regions being more expanded than basal. Negative abdominal pressure increased this gradient to a mean of 2.1% TLC/cm. This change was in qualitative agreement with measurements of costal pleural surface pressure made in similar experiments by others. However, the changes we observed tended to be smaller than those predicted on the basis of costal pleural surface pressure. Since regional volumes represented the average of the pressures operating on lung regions, it was suggested that during negative abdominal pressure this average differed from pressure measured at the costal surface.

摘要

我们使用氙-133对处于仰卧位的犬在施加腹部负压(-50 cm H₂O)时从肺尖到肺底的局部肺容积进行了测量。用磁力计监测胸廓形状的变化。腹部负压使上胸廓横截面积减少5%,下胸廓横截面积减少19%。这些变化与犬倾斜至直立位时观察到的变化相似。在所检查的10 cm肺段中,对照测量显示肺尖到肺底的平均梯度为1.4% TLC/cm,肺尖区域比肺底区域扩张更明显。腹部负压使该梯度增加至平均2.1% TLC/cm。这一变化与其他人在类似实验中对肋胸膜表面压力的测量结果在定性上一致。然而,我们观察到的变化往往小于根据肋胸膜表面压力预测的变化。由于局部容积代表作用于肺区域的压力的平均值,因此有人提出在腹部负压期间,该平均值与在肋表面测量的压力不同。

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