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让-路易·艾蒂安北极之旅前后观测到的体温变化。低温状态下中枢神经系统温度能保持吗?

Thermal changes observed before and after J.-L. Etienne's journey to the North Pole. Is central nervous system temperature preserved in hypothermia?

作者信息

Bittel J H, Livecchi-Gonnot G H, Hanniquet A M, Poulain C, Etienne J L

机构信息

Unité de Thermophysiologie, Centre de Recherches du Service de Santé des Armées, La Tronche, France.

出版信息

Eur J Appl Physiol Occup Physiol. 1989;58(6):646-51. doi: 10.1007/BF00418512.

DOI:10.1007/BF00418512
PMID:2731535
Abstract

The thermoregulatory responses of a French doctor, Jean-Louis Etienne, were examined in a standard cold test before and after his journey to the North Pole, to investigate whether general and/or local cold adaptation had occurred. The two tests were carried out in a climatic chamber for 2 h at rest (dry bulb temperature, 1 degree C; relative humidity, 40%; wind speed, 0.8 m.s-1). After his journey, Etienne showed a general hypothermic-hypometabolic adaptation, i.e. a decrease in rectal temperature (Tre) and metabolic heat production (M), and an increased local skin temperature of the extremities. Between the two tests, a change occurred in the relationship between tympanic temperature (Tty) and M. During the post-journey cold test, Tty [as representative of the central nervous system (CNS) temperature] increased while the decrease in Tre was accelerated, probably due to a redistribution of blood volume towards the CNS. Such a mechanism would protect the central core with special reference to the CNS.

摘要

法国医生让 - 路易·艾蒂安(Jean-Louis Etienne)在前往北极前后,于标准寒冷测试中接受了体温调节反应检查,以探究是否发生了全身性和/或局部性冷适应。两次测试均在气候舱内静息状态下进行2小时(干球温度1摄氏度;相对湿度40%;风速0.8米/秒)。旅行之后,艾蒂安表现出全身性低温 - 低代谢适应,即直肠温度(Tre)和代谢产热(M)降低,以及四肢局部皮肤温度升高。两次测试之间,鼓膜温度(Tty)与M的关系发生了变化。在旅行后的寒冷测试中,Tty [作为中枢神经系统(CNS)温度的代表]升高,而Tre的下降加速,这可能是由于血容量重新分配至中枢神经系统所致。这样一种机制将特别针对中枢神经系统保护中央核心。

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