Kollmeyer K R, Kleinman L I
J Appl Physiol. 1975 May;38(5):819-26. doi: 10.1152/jappl.1975.38.5.819.
An extracorporeal venovenous shunt system utilizing a membrane oxygenator to alter venous blood gases was used to study the regulation of ventilation in 28 newborn and 4 adult dogs. There was no effect of the extracorporeal circuit per se (without the oxygenator in the system) on essential cardiovascular or respiratory function. When the puppies were placed on the extracorporeal circuit with the oxygenator in the system to effect changes in mixed venous blood gas composition there was a significant increase in venous P02 (Pv02), a decrease in venous Pco2 (Pvco2), a rise in venous pH (PHv), and a marked fall in minute ventilation (VE). There were no significant changes in cardiovascular function or arterial blood gases to account for the depression of ventilation. Acute changes in Pvo2 produced appropriate directional changes of VE under conditions where other arterial and venous blood gases were held constant. At a low Pvco2/Paco2 ratio, ventilation was depressed compared to those conditions with a high ratio. At any Pvc02/Paco2 ratio, ventilation could be depressed by raising the Pvo2. In adult animals ventilation could not be altered by changing venous blood gases. These experiments support the existence of a respiratory chemoreceptor sensitive to both PO2 and PCO2 in the prepulmonary or venous circulation of the newborn animal.
利用膜式氧合器改变静脉血气的体外静脉-静脉分流系统,被用于研究28只新生幼犬和4只成年犬的通气调节。体外循环本身(系统中无氧合器)对基本的心血管或呼吸功能没有影响。当幼犬置于系统中有氧合器的体外循环中,以改变混合静脉血气成分时,静脉血氧分压(PvO2)显著升高,静脉血二氧化碳分压(PvCO2)降低,静脉血pH值(PHv)升高,分钟通气量(VE)显著下降。心血管功能或动脉血气没有显著变化来解释通气的抑制。在其他动脉和静脉血气保持恒定的情况下,PvO2的急性变化使VE产生了相应的方向变化。在低PvCO2/Paco2比值时,与高比值情况相比,通气受到抑制。在任何PvCO2/Paco2比值下,提高PvO2都可抑制通气。在成年动物中,改变静脉血气不能改变通气。这些实验支持在新生动物的肺前或静脉循环中存在对PO2和PCO2均敏感的呼吸化学感受器。