ROLE OF HYPOXIC PULMONARY VASOCONSTRICTION IN PULMONARY GAS-EXCHANGE AND BLOOD-FLOW DISTRIBUTION .1. PHYSIOLOGICAL CONCEPTS

被引:90
|
作者
MARSHALL, BE [1 ]
MARSHALL, C [1 ]
FRASCH, F [1 ]
HANSON, CW [1 ]
机构
[1] UNIV PENN,SCH MED,CTR ANESTHESIA RES,PHILADELPHIA,PA 19104
关键词
LUNG; VENTILATION PERFUSION; PRESSURE-FLOW; COMPUTER MODEL;
D O I
10.1007/BF01708968
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The regulation of the distribution of ventilation/perfusion ratios by hypoxic pulmonary vasoconstriction contributes to both the efficiency of gas exchange and to pulmonary hemodynamics. In this review, the first of a two part series, are summarized the physiologic principles on which the analysis of ventilation/perfusion ratios and of pressure - flow relationships are based. A new combined analysis is introduced that permits the important contributions of hypoxic pulmonary vasoconstriction to overall gas exchange to be demonstrated in the circumstances of clinical complexity.
引用
收藏
页码:291 / 297
页数:7
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