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传统与团状二氧化碳负荷及麻醉猫呼吸的控制

Conventional versus slug CO2 loading and the control of breathing in anaesthetized cats.

作者信息

van der Grinten C P, Schoute E, de Vries W R, Luijendijk S C

机构信息

Department of Pulmonology, University Hospital Maastricht, University of Limburg, The Netherlands.

出版信息

J Physiol. 1992 Jan;445:487-98. doi: 10.1113/jphysiol.1992.sp018935.

Abstract
  1. Conventional inspiratory CO2 loading (CCL) is accomplished by having the subject breathe CO2-enriched air. An alternative method of CO2 loading is to inject a bolus of CO2 at the start of each inspiration into the inspired air: slug CO2 loading (SCL). During SCL PCO2 in the conducting airways declines quickly towards 0 kPa in the course of inspiration, whereas PCO2 remains at a constant value equal to the inspiratory PCO2 during CCL. Therefore, CCL and SCL may stimulate the respiratory controller differently. 2. We compared the ventilatory responses to SCL and CCL in fourteen anaesthetized, spontaneously breathing cats. In each experimental animal we applied, in a fixed randomized order, five CCL experiments (fractional inspiratory CO2, FI,CO2 = 0.01-0.05), six SCL experiments (slugs of 50% CO2 ranging from 0.5 to 6 ml) and three control experiments in which no CO2 was loaded. Partial pressure of CO2 in arterial blood was determined from small blood samples (0.14 ml). In three cats we repeated the experiments after bilateral transection of the cervical vagi to evaluate the contribution of vagal receptors to the responses observed. 3. The average slope of the CO2 response curves for SCL was 2 times steeper than that for CCL (P less than 0.01). The larger minute ventilation for SCL for a particular value of arterial PCO2 (Pa,CO2) could not be attributed exclusively to the increased breathing frequency or the increased tidal volume (P greater than 0.10). Further, mean inspiratory flow (VI) was larger for SCL than for CCL at the same Pa,CO2 (P less than 0.01), also because the ratio TI/TE (inspiratory duration/expiratory duration) was smaller (P less than 0.01). After vagotomy the difference between SCL and CCL response curves was much reduced. 4. It is concluded that SCL and CCL affect the respiratory controller in a different way causing differences in breathing pattern and CO2 sensitivity between the two methods. Evidently, a mechanism based on CO2 sensitivity of pulmonary receptors is involved in the responses observed.
摘要
  1. 传统的吸气二氧化碳负荷试验(CCL)是通过让受试者吸入富含二氧化碳的空气来完成的。另一种二氧化碳负荷试验方法是在每次吸气开始时向吸入空气中注入一团二氧化碳:弹丸式二氧化碳负荷试验(SCL)。在SCL过程中,传导气道中的二氧化碳分压在吸气过程中迅速下降至0 kPa,而在CCL过程中,二氧化碳分压保持在一个恒定值,等于吸气时的二氧化碳分压。因此,CCL和SCL可能对呼吸控制器产生不同的刺激。2. 我们比较了14只麻醉的、自主呼吸的猫对SCL和CCL的通气反应。在每只实验动物中,我们按照固定的随机顺序进行了五次CCL实验(吸入二氧化碳分数,FI,CO2 = 0.01 - 0.05)、六次SCL实验(50%二氧化碳弹丸,范围为0.5至6毫升)以及三次未加载二氧化碳的对照实验。通过采集少量血样(0.14毫升)来测定动脉血中的二氧化碳分压。在三只猫中,我们在双侧切断颈迷走神经后重复了实验,以评估迷走神经感受器对所观察到的反应的贡献。3. SCL的二氧化碳反应曲线的平均斜率比CCL的陡峭2倍(P < 0.01)。对于特定的动脉二氧化碳分压(Pa,CO2)值,SCL时较大的分钟通气量不能仅仅归因于呼吸频率的增加或潮气量的增加(P > 0.10)。此外,在相同的Pa,CO2时,SCL的平均吸气流量(VI)比CCL大(P < 0.01),这也是因为吸气时间/呼气时间(TI/TE)的比值较小(P < 0.01)。迷走神经切断术后,SCL和CCL反应曲线之间的差异大大减小。4. 得出的结论是,SCL和CCL以不同的方式影响呼吸控制器,导致两种方法在呼吸模式和二氧化碳敏感性方面存在差异。显然,基于肺感受器二氧化碳敏感性的机制参与了所观察到的反应。

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