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氟烷和乙醚对离体灌注猫肺二氧化碳循环反应的影响。

Effect of halothane and diethyl ether on the circulatory response to carbon dioxide in the isolated perfused cat lung.

作者信息

Gibbs J M, Tait A R, Sykes M K

出版信息

Br J Anaesth. 1976 Jul;48(7):629-34. doi: 10.1093/bja/48.7.629.

Abstract

Constant flow perfusion of the pulmonary circulation was established in isolated cat lungs. These were ventilated with 5% carbon dioxide in oxygen in order to maintain a near-normal carbon dioxide tension and acid-base status in the perfusing blood. The alteration of pulmonary vascular resistance in response to a change in inspired carbon dioxide concentration from 5% to 10% was investigated before, during and after the administration of 1% halothane (in 16 perfusions) or 5% diethyl ether (in 8 perfusions). An increase of inspired carbon dioxide concentration caused a significant increase in pulmonary vascular resistance, but the magnitude of the increase was diminished during the administration of both anaesthetic agents. The response increased again after the anaesthetics were withdrawn. The administration of halothane during ventilation with 5% carbon dioxide caused a significant reduction of pulmonary vascular resistance whilst diethyl ether resulted in a significant increase in this measurement. It is suggested that inhalation anaesthetic agents may increase ventilation/perfusion mismatching by altering the normal vasoconstrictor response to increased alveolar PCO2;

摘要

在离体猫肺中建立了肺循环的恒流灌注。用含5%二氧化碳的氧气对其进行通气,以维持灌注血液中接近正常的二氧化碳张力和酸碱状态。在给予1%氟烷(16次灌注)或5%乙醚(8次灌注)之前、期间和之后,研究了吸入二氧化碳浓度从5%变为10%时肺血管阻力的变化。吸入二氧化碳浓度增加会导致肺血管阻力显著增加,但在两种麻醉剂给药期间,增加的幅度减小。麻醉剂停用后,反应再次增强。在5%二氧化碳通气期间给予氟烷会导致肺血管阻力显著降低,而乙醚则导致该测量值显著增加。有人认为,吸入麻醉剂可能通过改变对肺泡PCO2升高的正常血管收缩反应来增加通气/灌注不匹配;

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