• 제목/요약/키워드: Alveolar gas

검색결과 34건 처리시간 0.021초

Design and Experiment of a Micro Electronic System for Prediction of Alveolar-Gas Partial Pressures

  • Kim, Da-Jung;Chang, Keun-Shik;Kim, Sa-Ji;Park, Hye-Yun;Suh, Gee-Young
    • 대한의용생체공학회:의공학회지
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    • 제31권3호
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    • pp.187-193
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    • 2010
  • In this study we have designed and fabricated an inexpensive micro electronic system that we call Alvitek. It can indirectly but accurately predict and display the partial pressures of alveolar oxygen and carbon dioxide for the patients in the ICU of a hospital. Alvitek consists of both hardware part and software part. Performance of the system is tested by animal experiment with pigs for various $F_{t}e_{2}$ and RR(Respiratory Rate) values under the mechanical ventilation. The predicted alveolar gas partial pressures are cprpared with the approximate alveolar oxygen partial pressures easily calculated by the physician’s bedside formula. As a result, we have concluded that the relative error of A-$aDe_2$ calculated by the bedside formula grows seriously for lower $F_{t}e_{2}$ values. The present prediction method of Alvitek is henceforth believed very meaningful to the physicians. The system hardware and software are described in the text.

산소중독시 가토의 [A-a] gas Gradient 의 변화 (Changes of [A-a] gas Gradient in Rabbits with Oxygen Toxicity)

  • 이두연
    • Journal of Chest Surgery
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    • 제20권1호
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    • pp.1-12
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    • 1987
  • Respiratory care with oxygen inhalation is often a necessity to maintain life, and it is one of the important therapeutic adjuncts in respiratory disease and in intensive care after surgery. However, it has been reported that oxygen toxicity occurs after prolonged exposure to 100% 0, [Smith, 1899; Kistler et al. 1967; Schaffner et al. 1967; Rowland and Newman, 1969. Subjective symptoms of oxygen toxicity include tracheal irritation, frequent cough, some burning sensation in the trachea, tachypnea, severe dyspnea, etc. [Welch, 1963; Fisher et al, 1968; Milier et al, 1970; Clark and Lambertsen, 1971; Sackner, 1975]. Pathologic findings are atelectasis, injuries to the pulmonary capillaries and hemorrhage in the alveoli in gross specimens. There can be inflammation, proliferation of fibrin, thickening of alveolar membranes, degeneration of collagen fibers and interstitial edema in the microscopic findings. [Penrod, 1956; Cedergren, 1959; Bean, 1965; Schaffner, 1967]. Dubois and colleagues [1961] found that the amount of pulmonary surfactant was decreased in oxygen toxicity and atelectasis followed by the decreased pulmonary surfactant. Many authors reported that vital capacity, inspiratory force, pulmonary compliance, pulmonary capillary blood flow and pulmonary elasticity were deceased and arteriovenous shunting increased. [Comroe et al, 1945; Fuson et al, 1965; Kistler et al, 1966; Knowles and Blenner-hassett, 1967; Barber et al, 1978]. Many human volunteers were examined after prolonged exposure in a high oxygenated chamber and there were a few reports on animals with oxygen toxicity, subjects including rabbits. Gas partial pressures of alveoli and arteries were measured in rabbits exposed to 100% $O_2$ and the alveolar-arterial gas gradients were analyzed, which is the basis for the study of oxygen toxicity. These rabbits were divided into two groups; rabbits under natural respiration, and second group under artificial respiration with a respirator. The alveolar $PO_2$ [$P]AO_2$] and $PCO_2$ [$PACO_2$], and the arterial $PO_2$ [$PaO_2$] were measured under varying $O_2$ pressures; 15% $O_2$, 21% $O_2$ and 100% $O_2$.

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가스 교환비(R)를 구하는 노모그람 (Gas Exchange Ratio (R) Nomogram)

  • 황기준
    • The Korean Journal of Physiology
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    • 제1권1호
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    • pp.73-76
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    • 1967
  • A nomogram of gas exchange ratio (R) in air breathing subjects ,was porposed which enables a simple and rapid determination of R value using the fractional concentrations of nitrogen and carbon dioxide in the expired or alveolar gas. The readable limit of R value seems less than 1/100 of R unit and the average difference between the values from the nomogram and the actually calculated values is less than 0.005 of R unit. The usefulness of this nomogram for rapid and frequent determinations of the oxygen uptake is also suggested.

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반복호흡(反覆呼吸)을 하는 견폐(犬肺)에서의 혈액(血液) Gas와 폐포(肺胞) Gas의 비교(比較)에 관(關)하여 (Comparison of Blood and Alveolar Gas Composition during Rebreathing in the Dog Lung)

  • 유창준
    • 대한수의학회지
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    • 제12권1호
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    • pp.25-35
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    • 1972
  • 견(犬)의 전좌폐(全左肺) 또는 좌폐하엽(左肺下葉)을 고무 낭(囊)으로 반복호흡(反覆呼吸)(rebreathing)을 연속(連續)시키며 폐동맥(肺動脈)(혼합정맥혈액(混合靜脈血液)) 및 폐정맥(肺靜脈)의 혈중탄산(血中炭酸)gas와 산소(酸素)를 반복호흡(反覆呼吸)한 폐포(肺胞)의 탄산(炭酸)gas 및 산소(酸素)와 비교(比較)하였다. 이들 두 기체(氣體)에 있어서 폐포(肺胞) gas의 장력(張力)이 혈액(血液) gas의 장력(張力)보다 항상 컸으며, 또 폐포(肺胞)와 폐동맥간(肺動脈間)의 경사도(傾斜度)가 폐포(肺胞)와 폐정맥간(肺靜脈間)의 경사도(傾斜度)보다 컸으나 탄산(炭酸) gas에 있어서만 유의성(有意性)이 있었다. 이 결과는 폐조직(肺組織)의 대사과정(代謝過程)에 의(依)하여 탄산(炭酸) gas가 생성(生成)되어 혈류(血流)로 운반(運搬)되어지기 때문이라 생각된다. 폐포(肺胞)와 폐정맥간(肺靜脈間)의 경사도(傾斜度)가 감소(減少)될때 폐동맥(肺動脈)과 폐정맥(肺靜脈)의 탄산(炭酸)gas장력(張力)의 차이(差異)는 증가(增加)하였고 마취심도(麻醉深度)와는 무간(無間)하였다. 본실험(本實驗)에서 반복호흡(反覆呼吸)을 하는 폐내(肺內)의 혐기성대사(嫌氣性代謝)(anaerobic metabolism)로 대사성산(代謝性酸)의 생성(生成)에 의(依)하여 폐(肺)를 통과(通過)한 혈액중(血液中) base exces 감소(減少)를 예측(豫測)할수 있었으나 그러한 증거(證據)는 없었다.

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진폐와 병발된 폐포단백증 1예 (A Case of Pulmonary Alveolar Proteinosis Associated With Silicosis)

  • 지동한;김현석;전정배;류정선;곽승민;이홍렬;조철호
    • Tuberculosis and Respiratory Diseases
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    • 제45권2호
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    • pp.437-443
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    • 1998
  • 노작성 호흡곤란과 흉부 X-선 사진상의 이상소견으로 입원한 환자에서 직업력상의 규사폭로력과 조직검사에서의 폐포단백증의 소견으로 이차성 폐포단백증을 진단하고 전폐세척술의 시행으로 증상의 호전을 보인 1 예를 경험하였기에 문헌고찰과 함께 보고하였다.

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Waterston 수술이 Gas 값과 폐조직에 미치는 영향 (Blood Gas Analysis and Lung Histopathology in Waterston Operation)

  • 김세화;이홍균
    • Journal of Chest Surgery
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    • 제5권2호
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    • pp.87-96
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    • 1972
  • Studies of blood gas and lung histopathology were done in 10 dogs after intrapericardlal aorto-right pulmonary arterial anastomosis with proximal ligation of the right pulmonary antery. Among the 5 expired during or after operation, in 3 cases, the causes of the death were due to surgical bleeding and, in 2 cases, acute cardiopulmonary insufficiency because of large anastomosis stoma measured respectively 7mm and 10mm. In the 5 of survivals, one was sacrificed because of empyema at postoperative 7 days and 2 were at postoperative one month and remained 2 at postoperative 3 month respectively. The following observations were made. 1.In every survival, continuous machinary murmur was auscultated and the angiograms of all long term survivals showed the good patency of the anastomosis stoma. 2.After the ligation of the right pulmonary artery, the values of $PO_2$ and $PCO_2$ in arterial and venous blood were generally decreased comparing with the preoperative values. The mean value of $P_aO_2$ noted $83.30{pm}11.875$[p<0.01]. After the shunts operation with ligation of the right pulmonary artery, the immediate values of PH, $PO_2$ and $PCO_2$showed no significant changes comparing with that of right pulmonary artery ligation only. In the cases of survivals more than one month, the values of $PO_2$ and $PCO_2$ in the arterial and venous blood were generally higher than that of ligation of the right pulmonary artery only. The $P_aO_2$ value noted $103.750{pm}7.395$[p<0.01]. The mean values of $P_aO_2$, $PCO_2$ and PH in the arterial and venous blood almost returned to that of preoperative studies. 3.In the specimens of lung from the cadavors expired due to acute cardiopulmonary insufficiency after the operation, there were massive congestion, hemorrhage in the alveolar spaces and bronchioles. In specimens obtained at postoperative one month, there were dilatation of alveolar spaces with partial rupture, slight congestion, and alveolar wall thickening in the lung parenchyme, but there was no significant changes in pulmonary vasculature except dilation of pulmonary capillaries. In the specimens obtained at postoperative three months, the alveolar walls were more thickened in the lung parenchyme than the finding of the specimens obtained at postoperative one month. In the wall of pulmonary capillaries, there was only slight thickening with connective tissue proliferatlon.

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Effects of Hydrocarbon Additions on Gas-liquid Mass Transfer Coefficients in Biphasic Bioreactors

  • Silva, Teresa Lopes da;Calado, Vitor;Silva, Nadia;Mendes, Rui L.;Alves, Sebastiao S.;Vasconcelos, Jorge M.T.;Reis, Alberto
    • Biotechnology and Bioprocess Engineering:BBE
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    • 제11권3호
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    • pp.245-250
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    • 2006
  • The effects of aliphatic hydrocarbons (n-hexadecane and n-dodecane) on the volumetric oxygen mass transfer coefficient $(k_L\;a)$ were studied in flat alveolar airlift reactor and continuous stirred tank reactors (CSTRs). In the flat alveolar airlift reactor, high aeration rates (>2vvm) were required in order to obtain efficient organic-aqueous phase dispersion and reliable $k_La$ measurements. Addition of 1% (v/v) n-hexadecane or n-dodecane increased the $k_La$ 1.55- and 1.33-fold, respectively, compared to the control (superficial velocity: $25.8{\times}10^{-3}m/s$, sparger orifice diameter: 0.5 mm). Analysis of the gas-liquid interfacial area a and the liquid film mass transfer coefficient $k_L$ suggests that the observed $k_La$ increase was a function of the media's liquid film mass transfer. Addition of 1% (v/v) n-hexadecane or n-dodecane to analogous setups using CSTRs led to a $k_La$ increase by a factor of 1.68 and 1.36, respectively (superficial velocity: $2.1{\times}10^{-3}m/s$, stirring rate: 250 rpm). These results propose that low-concentration addition of oxygen-vectors to aerobic microbial cultures has additional benefit relative to incubation in purely aqueous media.

체외순환에 따른 혈장 단백 함량과 폐포모세혈관 산소 분압차의 변화 (Changes in Plasma Protein Concentration and Alveolar -Arterial Oxygen Tension Differnce Associated with CPB-)

  • 전태국
    • Journal of Chest Surgery
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    • 제23권6호
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    • pp.1084-1089
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    • 1990
  • Plasma protein concentration, plasma albumin concentration, hematocrit, and arterial blood gas tension were measured in 15 mongrel dogs undergoing heart transplantation with cardiopulmonary bypass. The hemodilution due to priming solution resulted in a 49% decrease in plasma protein concentration, a 57% decrease in plasma albumin concentration, a 46%a decrease in hematocrit. The measurements had returned to preperfusion values 1 hour after the end of cardiopulmonary bypass. The intraoperative changes in plasma protein and albumin concentration did not correlate with changes in alveolar-arterial oxygen tension gradients[D[A\ulcorner PO2]]. It is concluded that, in the absence of an increase in left atrial pressure, marked decrease in plasma protein concentration can be tolerated without the occurrence of pulmonary edema. And further study should be done to determine how to prepare an ideal priming solution.

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반복호흡(反覆呼吸)을 하는 견폐(犬肺)에서의 폐포(肺胞)와 혼합정맥혈액(混合靜脈血液)의 CO2 및 O2 경사도(傾斜度)에 대한 연구(硏究) (Studies of Aleolar-Mixed Venous CO2 and O2 Gradients in the Rebreathing Dog Lung)

  • 유창준
    • 대한수의학회지
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    • 제12권1호
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    • pp.37-50
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    • 1972
  • 폐포(肺胞) gas와 폐동맥(肺動脈)(혼합정맥혈액(混合靜脈血液))만의 비교실험군(比較實驗郡)에 있어서도 역시(亦是) 탄산(炭酸) gas 장력(張力) 때로는 산소(酸素)까지도 폐포기체(肺胞氣體)의 장력(張力)이 더욱 높았다 (positive ${\Delta}Pco_2$, 및 $Po_2$). ${\Delta}Pco_2$는 산(酸) 또는 bicarbonate 주입(注入)으로 야기 되는 혈장(血漿) pH변화(變化) 및 시간(時間)에 따른 변이성(變異性)이 없이 항상 양성(陽性)을 보였으나, 혈중탄산(血中炭酸) gas장력(張力)의 크기에 비례(比例)하였다. 또 ${\Delta}Pco_2$ 는 혈류량(血流量)의 대소(大少) 및 분포(分布)에 별(別)로 영향 받지 아니하고 혈액내(血液內)에서 탄산(炭酸) gas평형(平衡)의 미달(未達)로부터 오는 것도 아니었으나 탄산탈수효소(炭酸脫水酵素) (carbonic anhydrase) 작용(作用)을 억제(抑制)할 때 증가(增加)되었다. ${\Delta}Po_2$는 더욱 변이성(變異性)이 컸으며 특(特)히 낮은 혈류속도(血流速度)에 있어서는 때때로 negative 현상(現像)을 나타내기도 하였다. ${\Delta}Po_2$도 또한 시간(時間) 및 혈장(血漿) pH 변화(變化)와 무관(無關)하게 독립적(獨立的)인 것이었으나, 탄산(炭酸) gas 장력(張力)의 변화(變化)로 일어나는 결과(結果)와는 반비례(反比例)의 관계(關係)가 있었다. ${\Delta}Po_2$도 gas교환(交換)이 일어날 수 있는 상당한 크기의 압차(壓差)를 주어도 존재(存在)하였고, 탄산(炭酸) gas 반응(反應)의 억제(抑制)에 의(依)하여도 영향받지 아니 하였다.

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