Uneven Distribution of Ventilation and Diffusing Capacity in Patients with Chronic Pulmonary Emphysema

Author(s):  
Takeo Kawashiro ◽  
Yuichi Ichinose ◽  
Tetsuro Yokoyama
1960 ◽  
Vol 15 (5) ◽  
pp. 785-795 ◽  
Author(s):  
W. A. Briscoe ◽  
E. M. Cree ◽  
J. Filler ◽  
H. E. J. Houssay ◽  
A. Cournand

In 10 patients with chronic pulmonary emphysema the distribution of ventilation within the lungs was assessed by a nitrogen washout and washin technique. Alveolar ventilation per minute per unit lung volume had a mean value of 5.0 in well ventilated alveoli and 0.19, or 1/26 as much, in poorly ventilated alveoli. Distribution of blood perfusion was estimated by a new method from these data and from O2 consumption and arterial O2 saturation. On the average, poorly ventilated alveoli which constituted 66% of lung volume were perfused by not more than 52% of the cardiac output. Thus poorly ventilated alveoli were underperfused by blood. Ventilation/perfusion ratios averaged 2.24 in well ventilated alveoli and 0.23 in poorly ventilated alveoli. Oxygen saturation averaged 85% in arterial blood and 97frac12% and 76%, respectively, in end-capillary blood leaving well and poorly ventilated alveoli. Inhomogeneity of this degree within the lung invalidates calculations of diffusing capacity based on any single mean PaOO2 and of alveolar ventilation based on identification of mean alveolar Pco2 with arterial blood Pco2. Submitted on March 25, 1960


1952 ◽  
Vol 12 (4) ◽  
pp. 382-387 ◽  
Author(s):  
John L. Patterson ◽  
Albert Heyman ◽  
T.Whatley Duke

PEDIATRICS ◽  
1964 ◽  
Vol 33 (3) ◽  
pp. 356-366
Author(s):  
Robert P. Bolande ◽  
Arthur S. Tucker

Seven cases of Marfan's syndrome are reviewed clinically, radiologically, and pathologically. Six of the seven cases showed evidence of pulmonary dysaeration: (a) Two of the cases showed compression of the left main-stem bronchus by a giant left atrium with atelectasis of the left lung and compensatory emphysema of the right lung. (b) Two of the cases showed evidence of diffuse chronic pulmonary emphysema. Three cases had bilateral apical bullae. (c) One of the cases developed pneumothorax. The lungs of the children with the Marfan syndrome show precocious maturation of the elastic stroma of the alveolar septae. The pathogenesis of emphysema is discussed in relationship to the Marfan abiotrophy of connective tissue.


1997 ◽  
Vol 37 (2) ◽  
pp. 116-121 ◽  
Author(s):  
Yoshihiro Sato ◽  
Takeshi Asoh ◽  
Yoshiaki Honda ◽  
Yukiko Fujimatsu ◽  
Itsuro Higuchi ◽  
...  

1959 ◽  
Vol 261 (27) ◽  
pp. 1369-1373 ◽  
Author(s):  
R. Dutton ◽  
W. Nicholas ◽  
C. J. Fisher ◽  
A. D. Renzetti

1955 ◽  
Vol 19 (4) ◽  
pp. 533-548 ◽  
Author(s):  
A.P. Fishman ◽  
P. Samet ◽  
André Cournand

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