A rebreathing method was developed to obtain the pulmonary diffusing capacity for CO,
DL(CO) and the cardiac output,
Q, simultaneously at rest and during exercise. From
DL(CO) and
Q, contact time of the red blood cell (RBC) through the lung capillary,
tc, was estimated by referring to a reaction rate factor of CO with RBC,
Fc(CO). The
DL(CO) and
Q were calculated from the changes in CO, O
2, and CO
2 concentrations in rebreathing air. The
Fc(CO) was evaluated so as to attain a proportional relation between the
DL(CO) and
Fc(CO) by varying a transfer coefficient for CO across the RBC boundary including the capillary wall. The
PO2 dependence of
Q was also taken into account in the above analyses. The
tc was determined by dividing the
DL(CO) by
Fc(CO),
Q, and fractional hematocrit. The
DL(CO) and
Q measured in five normal subjects in a sitting position were 26.6±2.9ml•min
-1•Torr
-1 and 5.9±0.6
l•min
-1 (mean±S.D.), respectively, which increased during moderate exercise up to 34.6±3.9ml•min
-1•Torr
-1 and 13.0±1.2
l•min
-1. The
tc, was 0.70±0.06s at rest and 0.40±0.05s during exercise. The rebreathing method for measuring
DL(CO) was more advantageous than the single breath method, because (1) the
tc could be obtained as well as the
Q and (2) the influence of the dead space and ventilation-perfusion uneveness on
DL(CO) was reduced.
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