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颈动脉体是通气适应慢性低氧所必需的。

Carotid bodies are required for ventilatory acclimatization to chronic hypoxia.

作者信息

Smith C A, Bisgard G E, Nielsen A M, Daristotle L, Kressin N A, Forster H V, Dempsey J A

出版信息

J Appl Physiol (1985). 1986 Mar;60(3):1003-10. doi: 10.1152/jappl.1986.60.3.1003.

Abstract

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)

摘要

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)

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