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短暂低碳酸血症在低氧状态下对二氧化碳通气反应中的作用。

The role of brief hypocapnia in the ventilatory response to CO2 with hypoxia.

作者信息

Ou L C, Tenney S M

出版信息

Respir Physiol. 1976 Dec;28(3):333-46. doi: 10.1016/0034-5687(76)90028-1.

Abstract

In conscious cats the ventilatory response curve to physiological range of CO2 is displaced upward by hypoxia (about 45 torr), but it rises, either parallel with, or convergent on, the normoxic curve. Thus, a positive interaction of hypoxia and hypercapnic stimuli is not observed under these circumstances. However, if during the hypoxic exposure, hypocapnia is allowed to develop, the subsequently determined CO2 ventilatory response curve will shift to the left, rise steeply, particularly in the early phase, and demonstrate a positive hypoxic hypercapnic interaction. A demonstrable interactive effect was dependent on a conditioning period of hypocapnia, and this was shown to be associated with an elevated level of lactic acid to a greater degree in cerebral venous blood than in CSF or arterial blood. The interpretation is discussed without reaching a firm conclusion of mechanism, but the results emphasize how a minor change of experimental protocol affects a basic phenomenon in the chemical control of breathing.

摘要

在清醒的猫中,对生理范围内二氧化碳的通气反应曲线因缺氧(约45托)而向上移位,但它与常氧曲线平行上升或向其汇聚。因此,在这些情况下未观察到缺氧与高碳酸血症刺激之间的正性相互作用。然而,如果在缺氧暴露期间允许低碳酸血症发展,随后测定的二氧化碳通气反应曲线将向左移位,急剧上升,特别是在早期阶段,并显示出正性的缺氧 - 高碳酸血症相互作用。可证明的相互作用效应取决于低碳酸血症的预处理期,并且已表明这与脑静脉血中乳酸水平升高的程度大于脑脊液或动脉血有关。文中对其进行了解释,但未得出关于机制的确切结论,但结果强调了实验方案的微小变化如何影响呼吸化学控制中的基本现象。

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