Davey M G, Johns D P, Harding R
Department of Physiology, Monash University, Clayton, Victoria, Australia.
Respir Physiol. 1998 Jul;113(1):83-93. doi: 10.1016/s0034-5687(98)00036-x.
We have quantified developmental changes in major aspects of respiratory function in 12 pentobarbitone-sedated lambs by making repeated measurements during the first 8 postnatal weeks, between term birth and post-weaning. Pulmonary diffusing capacity for CO increased with age due to increases in both the diffusing capacity of the alveolar capillary membrane (Dm) and pulmonary capillary blood volume (Vc). Total lung capacity measured at a lung inflation pressure of 30 cmH2O decreased from 74.4 +/- 3.2 ml/kg at 3 days to 47.2 +/- 2.9 ml/kg at 8 weeks. Static respiratory system compliance, measured between FRC and TLC fell rapidly during the first 3 weeks, then remained unchanged; the early postnatal fall was largely due to a reduction in chest wall compliance as lung compliance was constant. FRC declined from 32.3 +/- 1.7 ml/kg at 3 days to 25.1 +/- 1.5 ml/kg at 2 weeks, then fell to 21.4 +/- 1.2 ml/kg by 8 weeks. Specific pulmonary conductance (conductance/FRC) during mid-inspiration and mid-expiration did not change with age (0.195 +/- 0.012 and 0.194 +/- 0.019 L x sec(-1) x cmH2O(-1) x L(-1)-FRC, respectively). Breathing frequency, and weight-adjusted tidal volume and minute ventilation declined after birth until 4 weeks after which they did not change. This study has shown that, using basic methodology, serial assessments of respiratory function can be obtained in sedated lambs from soon after birth. The age-related increase seen in pulmonary diffusing capacity is due to increases in both Dm and Vc, which are consistent with continuing alveolarisation. Our data on age-related changes in pulmonary function and volumes provide a reference for future studies on the effect of altered prenatal lung development on postnatal lung function in sheep.
我们通过在出生后前8周(从足月出生到断奶后)进行重复测量,对12只戊巴比妥镇静的羔羊呼吸功能主要方面的发育变化进行了量化。由于肺泡毛细血管膜弥散能力(Dm)和肺毛细血管血容量(Vc)均增加,CO的肺弥散能力随年龄增长而增加。在30 cmH2O肺充气压力下测量的肺总量从出生3天时的74.4±3.2 ml/kg降至8周时的47.2±2.9 ml/kg。在功能残气量(FRC)和肺总量(TLC)之间测量的静态呼吸系统顺应性在出生后的前3周迅速下降,然后保持不变;出生后早期下降主要是由于胸壁顺应性降低,因为肺顺应性保持不变。FRC从出生3天时的32.3±1.7 ml/kg降至2周时的25.1±1.5 ml/kg,到8周时降至21.4±1.2 ml/kg。吸气中期和呼气中期的比肺传导率(传导率/FRC)不随年龄变化(分别为0.195±0.012和0.194±0.019 L×秒-1×cmH2O-1×L-1-FRC)。出生后呼吸频率、体重校正潮气量和分钟通气量下降,直到4周后不再变化。本研究表明,使用基本方法可以在出生后不久的镇静羔羊中获得呼吸功能的系列评估。肺弥散能力随年龄增长的增加是由于Dm和Vc均增加,这与持续的肺泡化一致。我们关于肺功能和容量随年龄变化的数据为未来研究产前肺发育改变对绵羊出生后肺功能的影响提供了参考。