Regional differences in expansion in excised dog lung lobes.

L E Olson, J R Rodarte
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引用次数: 41

Abstract

The position of small metallic markers embedded within the lung parenchyma and glued to the pleural surface of four excised right caudal dog lobes were determined during stepwise deflation from an airway opening pressure of 25 cmH2O in air-filled suspended lobes and 8 cmH2O in saline-filled lobes submerged in saline. Changes in the volumes of tetrahedrons formed by four noncoplanar markers were taken as regional lung volume changes at the centroids of the tetrahedron. In both air- and saline-filled lobes at all volumes below total lobe capacity (TLC) there was considerable variability in regional volume. The variability occurred at the first step below TLC and increased with deflation. Regions behaved consistently; regions that were proportionally larger or smaller than the overall lobe at any step tended to be larger or smaller, respectively, at all steps. There was a significant correlation between the regional behavior of the air- and saline-filled lobes. The variability of regional volume did not follow any clear topographical orientation. These results indicate there is considerable variability of lung compliance within small regions. This heterogeneity of regional parenchymal properties may be the anatomical basis of the nonuniformity of regional ventilation known to occur in intact animals and excised lobes within small regions at the same vertical height.

犬肺叶切除后扩张的区域差异。
在气道开放压力为25 cmH2O的充气悬浮肺叶和8 cmH2O的盐水肺叶浸泡在盐水中,在逐步放气的过程中,确定了嵌入肺实质并粘附在4个切除的右侧犬尾叶胸膜表面的小金属标记物的位置。将四个非共面标记物形成的四面体体积变化作为四面体质心的区域性肺体积变化。在总叶容量(TLC)以下的所有体积下,空气和盐水填充的叶在区域体积上都有相当大的变化。变异性发生在TLC以下的第一步,并随着通货紧缩而增加。区域表现一致;在任何一个步骤中,比例大于或小于整体叶瓣的区域在所有步骤中分别趋向于较大或较小。在空气和含盐叶的区域行为之间存在显著的相关性。区域体积的变化不遵循任何明确的地形方向。这些结果表明,在小范围内,肺顺应性存在相当大的变异性。这种区域实质性质的异质性可能是已知在相同垂直高度的小区域内完整动物和切除肺叶中发生的区域通气不均匀性的解剖学基础。
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