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[缺氧和高碳酸血症对呼吸中枢功能状态的联合影响]

[Combined effects of hypoxia and hypercapnia on the functional state of the respiratory center].

作者信息

Kulik A M, Kondrat'eva L N

出版信息

Biull Eksp Biol Med. 1975 Apr;79(4):39-43.

PMID:103
Abstract

Experiments were conducted on cats under nembutal anesthesia; a study was made of pulse activity of bulbar respiratory neurons, electrical activity of the diaphragm and of the intercostal muscles; pO2, pCO2, pH, arterial blood oxygen saturation were determined in combined action of hypoxia and hypercapnia. When hypoxic gaseous mixture was given for respiration the developing hypocapnia disturbed the discharge rhythmic activity of the respiratory neurons, the respiration acquiring a pathological character of the Cheyne--Stokes type. After addition to the hypoxic gaseous mixture of 2% CO2 the gaseous composition of the arterial blood approached the initial values; this addition prevented the development of hypercapnia and disturbances of rhythmic discharge activity of the respiratory neurons. Addition of 5% CO2 to the hypoxic gaseous mixture produced a negative effect: at first it intensified and then depressed the pulse activity of the respiratory neurons, caused metabolic and respiratory acidosis, and promoted asphyxia.

摘要

在戊巴比妥麻醉下对猫进行实验;研究了延髓呼吸神经元的脉冲活动、膈肌和肋间肌的电活动;在低氧和高碳酸血症联合作用下测定了pO2、pCO2、pH、动脉血氧饱和度。当给予低氧气体混合物进行呼吸时,随之出现的低碳酸血症扰乱了呼吸神经元的放电节律活动,呼吸呈现出潮式呼吸类型的病理特征。在低氧气体混合物中加入2%的CO2后,动脉血的气体成分接近初始值;这种添加防止了高碳酸血症的发展和呼吸神经元节律性放电活动的紊乱。在低氧气体混合物中加入5%的CO2产生了负面影响:起初它增强然后抑制了呼吸神经元的脉冲活动,导致代谢性和呼吸性酸中毒,并促进窒息。

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