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Effects of inflation on the coupling between the ribs and the lung in dogs

机译:充气对狗肋骨与肺之间耦合的影响

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摘要

The coupling between the ribs and the lung in dogs increases with increasing rib number in the cranial part of the rib cage and then decreases markedly in the caudal part. The hypothesis was raised that this non-uniformity is primarily related to differences between the areas of the lung subtended by the different ribs, and in the current study we tested this idea by assessing the effects of passive lung inflation. Thus, by causing a descent of the diaphragm, inflation would expand the area of the lung subtended by the caudal ribs and improve the coupling between these ribs and the lung. The axial displacements of the ribs and the changes in airway opening pressure (ΔPao) were measured in anaesthetized, pancuronium-treated, supine dogs while loads were applied in the cranial direction to individual rib pairs at functional residual capacity (FRC) and after passive inflation to 10 and 20 cmH2O transrespiratory pressure. In agreement with the hypothesis, inflation caused an increase in ΔPao for ribs 9 and 10. The most prominent alteration, however, was a marked decrease in ΔPao for ribs 2–8; at 20 cmH2O, ΔPao for these ribs was only 30% of the value at FRC. Additional measurements indicated that this decrease in ΔPao results partly from the increase in diaphragmatic compliance but mostly from the reduction in outward rib displacement. This alteration in the pattern of rib motion should add to the decrease in muscle length to reduce the lung expanding action of the external intercostal muscles at high lung volumes.
机译:狗的肋骨与肺之间的耦合随着肋骨颅骨部分中肋骨数量的增加而增加,然后在尾部中显着减少。提出了这样的假设,即这种不均匀性主要与不同肋骨对着的肺区域之间的差异有关,并且在当前的研究中,我们通过评估被动肺通气的影响来测试了这种想法。因此,通过引起隔膜下降,膨胀将扩大由尾肋对着的肺的面积并改善这些肋与肺之间的耦合。在经麻醉,泛库溴铵处理的仰卧犬中测量肋骨的轴向位移和气道开放压力的变化(ΔPao),同时在颅骨方向以功能残余容量(FRC)以及被动充气后向单个肋对施加载荷至10和20 cmH2O的呼吸压力。与该假设一致的是,充气导致肋骨9和10的ΔPao增大。但是,最显着的变化是肋骨2-8的ΔPao明显减小;而肋骨2-8的ΔPao明显减小。在20 cmH2O下,这些肋骨的ΔPao仅为FRC值的30%。额外的测量结果表明,ΔPao的下降部分是由于diaphragm肌顺应性的增加,但主要是由于向外肋骨移位的减少。肋骨运动方式的这种改变应增加肌肉长度的减少,以减少高肺容量时肋间外肌的肺扩张作用。

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