呼吸変動の肺循環及び肺循環調節に及ぼす影響に関する実験的研究
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The magnitude of pulmonary vascular resistance will be one of the important criteria for pulmonary circulatory function, because it elevates pulmonary arterial pressure to bring about pressure load in the right ventricle of the heart. It being, however, known that, at the pulmonary circulatory system, its anatomical features give some limitation to the application of POISEUILLE-HAGEN Law, the change of pulmonary vascular resistance cannot necessarily result in the active constriction or the dilatation of pulmonary vessels. Meanwhile, since lungs are always influenced with the change of intrapleural pressure, the influence by the change of respiration in terms of its depth or its pattern, should always be taken in consideration. In light of this, the author had the following experiments using normal dogs and experimental pulmonary-hypertension dogs as the subjects : (1) the inflation of intratracheal pressure under the intermittent positive pressure breathing. (2) hyperventilation (by using a body respirator) (3) hypoventilation-lowtidal ventilation-(by using a body respirator) (4) stellectomie (5) intervenous infusion of C_6 (6) vagotomy Through this experimentation, he observed the right ventricular function as well as how the change of each respiratory pattern mentioned in the above experiments affected pulmonary arterial pressure and pulmonary vascular resistance, and affected their regulatory mechanism. Materials and Mehtod As to both the normal dogs and the pulmonary-hypertension dogs (into the bronchi of which resin was infused), the circulatory dynamics, before and during the controlled respiration, and, before and during the blocking of the auto-nomic nervous system, were observed. In other words, the right ventricular function and the pressure-flow relationship in the pulmonary circulatory system were investigated using the cardiac catheterization method and the dye dilution method based on the modified BING-HOLZ method.
- 社団法人日本循環器学会の論文
- 1965-08-20
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