Measurements of total and intrabronchial resistances in normal and diseased isolated lungs.

Broncho-pneumologie Pub Date : 1979-03-01
W Wierich, W Hartung
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Abstract

Postmortem studies of the total lung airways resistance (Rt), the central airways resistance (Rc), and the peripheral airways resistance (Rp) had been performed on normal lungs, on lungs with emphysema and lungs from patients with chronic obstructive pulmonary disease (COPD). In the normal lung a significant relationship between age and Rt was found. A decrease between 20 and 40 yr of age resulted from a decrease of Rp whereas an increase of Rt above the age of 40 was related to an increase in Rp. In the lungs with emphysema and obstruction Rp was increased especially. By variations of the breathing frequency and the lung volume (% of vital capacity) it could be detected that a remarkable effect upon Rt was caused by Rp. In general we found that even in normal lungs Rp is much higher than previously thought.

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正常和病变离体肺总阻力和支气管内阻力的测量。
对正常肺、肺气肿肺和慢性阻塞性肺疾病(COPD)患者的肺进行了肺总气道阻力(Rt)、中央气道阻力(Rc)和周围气道阻力(Rp)的死后研究。在正常肺中,年龄与Rt有显著关系。20岁至40岁之间的下降是由于Rp的下降,而40岁以上的Rt的增加与Rp的增加有关。在肺气肿和梗阻肺中,Rp升高尤为明显。通过呼吸频率和肺容量(肺活量的百分比)的变化,可以发现Rp对Rt有显著的影响。一般来说,我们发现即使在正常的肺中,Rp也比之前认为的要高得多。
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Physiology of the Pleura Alfa-one antitrypsin phenotypes and inhalatory pulmonary pathology. [PEEP in chronic obstruction syndromes]. Thomé George villar. [Measuring maximal expiratory flow brought to 25-75% of vital capacity, as an epidemiological method in the early detection of obstruction of peripheral airways].
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