術後急性肺水腫における肺リンパ動態の意義について(第1編)

抄録

In order to make clear the pathologic physiology of postoperative acute pulmonary edema, the author observed transudation and resorption of pulmonary hemodynamics as well as the flow of lung lymph, and the following results were obtained:
1) The flow of lymph obtained from truncus lymphaticus dexter at the normal condition was 0.01-0.06cc/sec., average 0.079cc/sec., and the lymph protein concentration was 2.0-4.9, average 3.23%.
2) The influence of lobectomy upon pulmonary lymph dynamics was hardly seen, and any remarkable changes of flow of lymph and protein concentration were not observed, and also change of pulmonary arterial blood pressure was seldom.
3) The flow of lung lymph and the pressure of arteria pulmonalis increased slightly by loading hypoxia and hypercapnia.
4) By the rapid intravenous injection of physiological saline solution, the flow of lung lymph increased so quickly and remarkably as seen in the pulmonary arterial blood pressure and the density of protein of the lymph fell down remarkebly.