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犬个体气道在体内对组胺气雾剂和乙酰甲胆碱的反应性。

Individual canine airways responsiveness to aerosol histamine and methacholine in vivo.

作者信息

Brown R H, Georgakopoulos J, Mitzner W

机构信息

Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins School of Hygiene and Public Health, Baltimore, Maryland 21205, USA.

出版信息

Am J Respir Crit Care Med. 1998 Feb;157(2):491-7. doi: 10.1164/ajrccm.157.2.9703049.

Abstract

Inhalational challenges to histamine and methacholine (Mch) are commonly used to measure airway reactivity. In this study, we investigated the serial distribution of individual airway responsiveness in vivo following stimulation with histamine or methacholine by directly measuring airway area with high resolution computed tomography (HRCT). Anesthetized dogs were challenged on separate days to increasing aerosol concentrations of histamine or Mch. Airway areas of 13 or 14 individual airways in each dog ranging in size from 1.1 to 16.9 mm in diameter at baseline were measured. Dose response curves for each agonist showed a similar responsiveness to each agonist over all airway sizes measured. There was a slightly greater individual airway responsiveness to Mch throughout the airway tree, and this greater responsiveness was also present in those airways that are responsible for the decreased Cdyn observed with Mch challenge. We conclude that in vivo aerosol challenges with histamine or methacholine do not lead to preferential construction of large or small airways.

摘要

组胺和乙酰甲胆碱(Mch)吸入激发试验常用于测定气道反应性。在本研究中,我们通过高分辨率计算机断层扫描(HRCT)直接测量气道面积,研究了组胺或乙酰甲胆碱刺激后体内个体气道反应性的系列分布。对麻醉的犬在不同日期分别给予递增浓度的组胺或乙酰甲胆碱气雾剂激发。测量每只犬在基线时直径为1.1至16.9mm的13或14条个体气道的气道面积。每种激动剂的剂量反应曲线显示,在所测量的所有气道大小上,对每种激动剂的反应性相似。在整个气道树中,个体气道对乙酰甲胆碱的反应性略高,并且在那些因乙酰甲胆碱激发而观察到动态顺应性(Cdyn)降低的气道中也存在这种更高的反应性。我们得出结论,组胺或乙酰甲胆碱的体内气雾剂激发不会导致大气道或小气道的优先收缩。

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