超细氯化钠颗粒在人体肺部的总沉积。

J D Blanchard, K Willeke
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引用次数: 58

摘要

测量了5名健康受试者口服呼吸时单分散、0.026-0.19微米(干体积当量直径)氯化钠颗粒在肺部的总沉积量。当潮气量为1000 ml,流速为500 ml/s时,0.026微米颗粒沉积率为37.2 +/- 8.4%(平均+/- SD), 0.051微米颗粒为23.8 +/- 3.3%,0.096微米颗粒为22.8 +/- 3.1%,0.19微米颗粒为31.8 +/- 6.2%。沉积最小值对应于约0.08微米的颗粒尺寸。沉积与肺体积或体大小的测量无关,但与用力肺活量(FVC)呼出75% (FEF 75%/FVC)后的强制过期流量相关,并与FEF 25-75%和FEF 75%的百分比预测值相关。将呼吸周期从4秒延长到8秒,同时保持500毫升/秒的流速,会导致额外11.3 +/- 3.1%的吸入颗粒沉积。沉积和扩散是主要的沉积机制。这些吸湿颗粒根据它们在相对湿度在96%到100%之间的空气中所能达到的大小而沉积。
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Total deposition of ultrafine sodium chloride particles in human lungs.

The total deposition of monodisperse, 0.026-0.19 micron (dry volume equivalent diameter) sodium chloride particles in the lungs of five healthy subjects, who breathed orally, was measured. For a tidal volume of 1,000 ml and flow rate of 500 ml/s, the percentages deposited were: 37.2 +/- 8.4% (mean +/- SD) for 0.026 micron, 23.8 +/- 3.3% for 0.051 micron, 22.8 +/- 3.1% for 0.096 micron, and 31.8 +/- 6.2% for 0.19 micron particles. The deposition minimum corresponded to a particle size of approximately 0.08 micron. Deposition did not correlate with measures of lung volume or body size but did correlate with forced expired flow rate after 75% of forced vital capacity (FVC) exhaled (FEF 75%/FVC) and with percent-predicted values for FEF 25-75% and FEF 75%. Lengthening the breathing period from 4 to 8 s/breath while maintaining flow rate at 500 ml/s caused an additional 11.3 +/- 3.1% of the inhaled particles to deposit. Sedimentation and diffusion were found to be the principal deposition mechanisms. These hygroscopic particles deposited according to sizes they would attain in air with a relative humidity between 96 and 100%.

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