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犬干燥空气过度通气诱导气管支气管血流增加的机制

Mechanism for increase in tracheobronchial blood flow induced by hyperventilation of dry air in dogs.

作者信息

Baile E M, Godden D J, Paré P D

机构信息

University of British Columbia, Pulmonary Research Laboratory, St. Paul's Hospital, Vancouver, Canada.

出版信息

J Appl Physiol (1985). 1990 Jan;68(1):105-12. doi: 10.1152/jappl.1990.68.1.105.

Abstract

To test whether the consistent increase in tracheal and bronchial blood flow observed in dogs during hyperventilation of dry air might be the result of release of mediators such as vasodilatory prostaglandins or neuropeptides, we studied two groups of anesthetized mechanically ventilated dogs. Group 1 (n = 6) was hyperventilated for four 30-min periods with 1) warm humid air (38-40 degrees C, 100% relative humidity), 2) warm dry air (38-40 degrees C, 0% relative humidity), 3) warm humid air, and 4) warm dry air. After period 2, a loading dose of indomethacin (4 mg/kg iv) was given over 15 min followed by a constant infusion (4 mg.kg-1.h-1). Group 2 (n = 10) was hyperventilated for four 15- to 20-min periods by use of the protocol described above. After period 3 (group 2a) or period 2 (group 2b), topical 4% lidocaine hydrochloride solution was instilled into the trachea and main stem bronchi. Five minutes before the end of each period of hyperventilation, cardiac output and vascular pressures were measured. To determine airway blood flow, differently labeled radioactive microspheres were injected into the left atrium. After the last measurements, dogs were killed and the lungs excised. Blood flow to the trachea, main stem bronchi, and parenchyma (group 1 only) was calculated. Results showed that hyperventilation of dry air produced a significant increase in blood flow to the trachea and bronchi (period 2). In group 1, this increase was attenuated (P less than 0.02) after administration of indomethacin.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

为了检验在干燥空气过度通气期间犬类气管和支气管血流量持续增加是否可能是血管舒张性前列腺素或神经肽等介质释放的结果,我们研究了两组麻醉状态下机械通气的犬类。第一组(n = 6)进行了四个30分钟时段的过度通气,分别使用:1)温热潮湿空气(38 - 40摄氏度,100%相对湿度),2)温热干燥空气(38 - 40摄氏度,0%相对湿度),3)温热潮湿空气,以及4)温热干燥空气。在第二个时段后,静脉注射15分钟的吲哚美辛负荷剂量(4毫克/千克),随后持续输注(4毫克·千克⁻¹·小时⁻¹)。第二组(n = 10)按照上述方案进行了四个15至20分钟时段的过度通气。在第三个时段(2a组)或第二个时段(2b组)后,将4%盐酸利多卡因溶液滴入气管和主支气管。在每个过度通气时段结束前5分钟,测量心输出量和血管压力。为了测定气道血流量,将不同标记的放射性微球注入左心房。在最后一次测量后,处死犬类并切除肺部。计算气管、主支气管和实质(仅第一组)的血流量。结果显示,干燥空气过度通气使气管和支气管的血流量显著增加(第二个时段)。在第一组中,给予吲哚美辛后这种增加减弱(P < 0.02)。(摘要截断于250字)

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