代偿性肺生长犬的动态肺功能。

M E Arnup, H W Greville, L Oppenheimer, S N Mink, N R Anthonisen
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引用次数: 19

摘要

9只幼犬在10周龄时接受了左肺切除术,而9只性别匹配的幼崽则接受了假手术,所有动物在25周龄时接受了研究。肺切除术后的狗在肺重量和总肺活量(TLC)方面表现出代偿性生长,当体重正常化时与对照动物相同。在全肺切除后的狗中,其余右肺的所有肺叶重量都增加了,但这在横跨纵隔的心肺叶中最为明显。肺切除术后动物肺体积的细分正常,但残余体积(RV)除外:与对照动物相比,RV/TLC增加。完整犬肺和呼吸系统静压-容积曲线各组间无差异,切除肺静压-容积曲线组间基本相似。肺切除术后狗的最大呼气流量急剧减少,平均为对照组狗的40%,而肺活量较低的50%。在两组中,HeO2呼吸时最大呼气流量的分数增加是实质性的和相似的。使用133Xe检查区域顺应性、阻力和灌注分布。全肺切除后犬左半胸局部顺应性和灌注降低,局部阻力增加。
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Dynamic lung function in dogs with compensatory lung growth.

Nine puppies underwent left pneumonectomy at 10 wk of age while nine sex-matched littermates had a sham operation, and all animals were studied at 25 wk of age. Postpneumonectomy dogs demonstrated compensatory growth in that lung weight and total lung capacity (TLC) were the same as those of control animals when normalized for body weight. In postpneumonectomy dogs all lobes of the remaining right lung increased in weight, but this was most notable in the cardiac lobe which grew across the mediastinum. Subdivisions of lung volume were normal in postpneumonectomy animals except for residual volume (RV): RV/TLC was increased when compared with control animals. In intact dogs static pressure-volume curves of the lung and respiratory system did not differ between groups, and the static pressure-volume curves of excised lungs were closely similar. Maximum expiratory flow was sharply reduced in postpneumonectomy dogs, averaging 40% of flow in control dogs over the lower 50% of the vital capacity. In both groups the fractional increase in maximal expiratory flow during HeO2 breathing was substantial and similar. Regional compliances, resistances, and perfusion distribution were examined using 133Xe. Regional compliance and perfusion were reduced in the left hemithorax of postpneumonectomy dogs while regional resistances were increased.

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