Biomedical subjects
Publications and source records attributed to C Saunier.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
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151 ambulatory male patients with chronic obstructive pulmonary disease have been studied twice, at time intervals ranging from 2 to 36 months (average : 11), to determine the relationships between changes in lung function tests, pattern of breathing and arterial PCO2. This longitudinal analysis confirms the results of cross-sectional studies: variations in PaCO2 seem independent of the evolution of lung function tests (FEV1, VC, FEV1/VC, RV/TLC). Increases in PaCO2 are associated with a decrease in tidal volume and no change in respiratory frequency. These changes in breathing pattern result in a decreased minute ventilation and an increased VD/VT ratio.
An experimental model of pulmonary interstitial fibrosis was attempted in beagle dogs by intravenous administration of weak doses of paraquat. After various trials, the final protocol involved the intravenous injection of 2 mg/kg repeated every eight days for three weeks, and then every 15 days. On the 70th day, areas of localized interstitial fibrosis were observed (less than 10% of the surface of the tissue sections) in an otherwise healthy parenchyma. There was no marked hepatic or renal lesion. The evolution of the inflammatory and toxic processes was followed by the changes: 1) in the animal's weight (drop in weight after the injection of paraquat), 2) in blood gases (essentially drop in PaO2 and in SaO2), 3) in ventilation and respiratory exchanges (increase of VE and ventilatory frequency, decrease of Duco2), and 4) in static pulmonary compliance (distinct fall after injection). All these modifications showed a close relationship to the pattern of the paraquat injections. They receded 15 days after the last injection and reappeared after a new injection. The pulmonary hemodynamic study carried out only at the beginning of the experiment and before the animal was killed showed only a few anomalies (reduction of the average pressure of the right atrium).
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