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新生期高碳酸血症成年大鼠的呼吸力学

Respiratory mechanics in adult rats hypercapnic in the neonatal period.

作者信息

Rezzonico R, Gleed R D, Mortola J P

机构信息

Department of Physiology, McGill University, Montreal, Quebec, Canada.

出版信息

J Appl Physiol (1985). 1990 Jun;68(6):2274-9. doi: 10.1152/jappl.1990.68.6.2274.

Abstract

Because chronic hypoxia in the neonatal period has long-term effects on the mechanical properties of the respiratory system (S. Okubo and J. P. Mortola, J. Appl. Physiol. 66: 1772-1778, 1989), we asked whether similar effects would occur after neonatal exposure to hypercapnia. Three groups of rats were used. The first was exposed to 7% CO2 in normoxia from day 1 to 7 after birth and then returned to normocapnia (NB-CO2). The second was exposed to the same level and duration of hypercapnia from day 36 to 42, i.e., approximately 2 wk after weaning (AD-CO2). The third was raised in normoxia and normocapnia (control). At approximately 50 days, i.e., 1-2 wk after puberty, the passive mechanical properties of the respiratory system, lung, and chest were measured during artificial ventilation in the anesthetized and paralyzed animal. No differences were observed between AD-CO2 and control. NB-CO2 had higher compliance of the lung (approximately +40%) and respiratory system (+32%) than control or AD-CO2. Average values of resistance of the total respiratory system, lung, and chest wall were consistently lower in NB-CO2 than in control and AD-CO2, although the magnitude and statistical significance of the decrease depended on the method of measurement. In a separate group of NB-CO2, lung compliance was measured during spontaneous breathing, and it averaged 34% more than in control. The exponential constant of the deflation quasi-static pressure-volume curve of the liquid-filled lungs was also significantly higher than in control.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

由于新生儿期慢性缺氧会对呼吸系统的力学特性产生长期影响(大久保S和莫托拉JP,《应用生理学杂志》66:1772 - 1778,1989),我们探究新生儿期暴露于高碳酸血症后是否会出现类似影响。使用了三组大鼠。第一组在出生后第1天至第7天于常氧环境中暴露于7%二氧化碳,之后恢复至正常碳酸水平(新生期 - 二氧化碳组,NB - CO2)。第二组在出生后第36天至第42天,即大约断奶后2周,暴露于相同水平和时长的高碳酸血症(成年期 - 二氧化碳组,AD - CO2)。第三组在常氧和正常碳酸水平环境中饲养(对照组)。在大约50日龄,即青春期后1 - 2周时,对麻醉和麻痹状态的动物进行人工通气,测量呼吸系统、肺和胸廓的被动力学特性。AD - CO2组与对照组之间未观察到差异。NB - CO2组的肺顺应性(约 +40%)和呼吸系统顺应性(+32%)高于对照组或AD - CO2组。尽管降低的幅度和统计学意义取决于测量方法,但NB - CO2组的总呼吸系统、肺和胸壁阻力平均值始终低于对照组和AD - CO2组。在另一组NB - CO2大鼠中,测量了自主呼吸时的肺顺应性,其平均值比对照组高34%。充液肺的呼气准静态压力 - 容积曲线的指数常数也显著高于对照组。(摘要截取自250词)

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