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猪肺动脉的顺应性取决于压力和心率。

The compliance of the porcine pulmonary artery depends on pressure and heart rate.

作者信息

Kornet L, Jansen J R, Nijenhuis F C, Langewouters G J, Versprille A

机构信息

Pathophysiological Laboratory, Department of Pulmonary Diseases, Erasmus University, Rotterdam, The Netherlands.

出版信息

J Physiol. 1998 Nov 1;512 ( Pt 3)(Pt 3):917-26. doi: 10.1111/j.1469-7793.1998.917bd.x.

Abstract
  1. The influence of mean pulmonary arterial pressure (mean Ppa) on dynamic (Cd) and pseudo-static compliance (Cps) of the pulmonary artery was studied at a constant and a changing heart rate. Cd is the change in cross-sectional area (CSA) relative to the change in Ppa throughout a heart cycle. Cps is the change in mean CSA relative to the change in mean Ppa. If Cd is known, pulmonary blood flow can be computed from the Ppa using a windkessel model. We investigated whether Cps can be interchanged with Cd. 2. In nine anaesthetized pigs, we determined the mean CSA and Cd of the pulmonary artery at various Ppa levels, ranging from approximately 30 to 10 mmHg, established by bleeding. Two series of measurements were carried out, one series at a spontaneously changing heart rate (n = 9) and one series at a constant heart rate (n = 6). To determine CSA a conductance method was used. 3. Cps depended on pressure. The mean CSA versus mean Ppa curves were sigmoid and steepest in the series with the increasing heart rate (established by bleeding). The CSA versus Ppa loop during a heart cycle, giving Cd, was approximately linear and almost closed. The Cd versus mean Ppa relationship was bell shaped. Its width was smaller if the heart rate increased during the series of measurements. The pressure, where Cd was maximum, was higher at higher heart rates. Furthermore, the maximum Cd was not affected by the heart rate. 4. Because the pulmonary artery constricts with increasing heart rate, Cps will be overestimated during procedures where heart rate increases. Cd should be determined on a beat-to-beat basis to calculate flow because it changes with mean pulmonary arterial pressure and heart rate.
摘要
  1. 在心率恒定和变化的情况下,研究了平均肺动脉压(平均Ppa)对肺动脉动态顺应性(Cd)和伪静态顺应性(Cps)的影响。Cd是整个心动周期中横截面积(CSA)相对于Ppa变化的改变量。Cps是平均CSA相对于平均Ppa变化的改变量。如果已知Cd,则可使用风箱模型根据Ppa计算肺血流量。我们研究了Cps是否可以与Cd互换。2. 在9只麻醉猪中,我们通过放血将Ppa设定在约30至10 mmHg的不同水平,测定了肺动脉的平均CSA和Cd。进行了两个系列的测量,一个系列在自发变化的心率下(n = 9),另一个系列在恒定心率下(n = 6)。使用电导法测定CSA。3. Cps取决于压力。平均CSA与平均Ppa曲线呈S形,在心率增加的系列中(通过放血建立)最陡峭。心动周期中给出Cd的CSA与Ppa环近似线性且几乎闭合。Cd与平均Ppa的关系呈钟形。如果在测量系列中心率增加,其宽度会变小。Cd最大时的压力在较高心率时更高。此外,最大Cd不受心率影响。4. 由于肺动脉随着心率增加而收缩,在心率增加的手术过程中Cps会被高估。应逐搏测定Cd以计算流量,因为它会随平均肺动脉压和心率而变化。

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