Smith C A, Bisgard G E, Nielsen A M, Daristotle L, Kressin N A, Forster H V, Dempsey J A
J Appl Physiol (1985). 1986 Mar;60(3):1003-10. doi: 10.1152/jappl.1986.60.3.1003.
We have compared the ventilatory responses of intact and carotid body-denervated (CBD) goats to moderate [partial pressure of O2 in arterial blood; (Pao2) approximately 44 Torr] and severe (Pao2 approximately 33 Torr) many time points for up to 7 days of hypobaria. In the intact group there were significant time-dependent decreases in partial pressure of CO2 in arterial blood (PaCO2) in both moderate and severe hypoxemia (approximately-7 and -11 Torr) that were largely complete by 8 h of hypoxemia and maintained throughout. Acute restoration of normoxia in chronically hypoxic intact animals produced time-dependent increases in Paco2 over 2 h, but hypocapnia persisted relative to sea-level control. Arterial plasma [HCO3-] and [H+] decreased, and [Cl-] increased with a time course and magnitude consistent with developing hypocapnia. Chronic CBD, per se, resulted in a sustained, partially compensated respiratory acidosis, as PaCO2 rose 6 Torr and base excess rose 3 mEq/1, [Cl-] fell 1 mEq/1, and pHa fell 0.01 units. During exposure to identical levels of arterial hypoxemia as in the intact group. CBD animals showed no significant changes in PaCO2, [H+]a, or [HCO3-]a at any time during moderate or severe hypoxemia. Plasma [C1-] remained within the normal range throughout exposure to moderate hypoxia and increased in severe hypoxia. In a few instances some hypocapnia was observed, but this was highly inconsistent and was always less than one-third of that observed in intact goats. In contrast to intact goats, acute restorations of normoxia in the chronically hypoxic CBD goats always caused hyperventilation.(ABSTRACT TRUNCATED AT 250 WORDS)
我们比较了完整山羊和颈动脉体去神经支配(CBD)山羊在低气压环境下长达7天的多个时间点对中度[动脉血氧分压;(Pao2)约44 Torr]和重度(Pao2约33 Torr)低氧血症的通气反应。在完整组中,中度和重度低氧血症时动脉血二氧化碳分压(PaCO2)均有显著的时间依赖性下降(约-7和-11 Torr),在低氧血症8小时时基本完成下降,并持续至整个过程。长期低氧的完整动物急性恢复常氧后,2小时内Paco2出现时间依赖性升高,但相对于海平面对照组,低碳酸血症持续存在。动脉血浆[HCO3-]和[H+]下降,[Cl-]升高,其时间进程和幅度与低碳酸血症的发展一致。慢性CBD本身导致持续的、部分代偿性呼吸性酸中毒,PaCO2升高6 Torr,碱剩余升高3 mEq/1,[Cl-]下降1 mEq/1,pHa下降0.01单位。在与完整组相同水平的动脉低氧血症暴露期间,CBD动物在中度或重度低氧血症的任何时间,PaCO2、[H+]a或[HCO3-]a均无显著变化。在中度低氧血症暴露期间,血浆[C1-]始终保持在正常范围内,在重度低氧血症时升高。在少数情况下观察到一些低碳酸血症,但极不一致,且总是小于完整山羊中观察到的低碳酸血症的三分之一。与完整山羊相反,长期低氧的CBD山羊急性恢复常氧总是导致过度通气。(摘要截断于250字)