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肺动脉血二氧化碳分压对肺慢适应性牵张感受器的影响。

Effect of pulmonary arterial PCO2 on slowly adapting pulmonary stretch receptors.

作者信息

Green J F, Schertel E R, Coleridge H M, Coleridge J C

出版信息

J Appl Physiol (1985). 1986 Jun;60(6):2048-55. doi: 10.1152/jappl.1986.60.6.2048.

Abstract

We recorded pulmonary stretch receptor (PSR) activity in anesthetized dogs and examined the effect of varying pulmonary arterial PCO2 (PpCO2) in both the naturally perfused and vascularly isolated pulmonary circulations while ventilating the lungs with room air. Steady-state increases in PpCO2 from approximately 25 to 50 Torr and from 50 to 70 Torr decreased PSR activity (impulses/ventilatory cycle) by 15 and 9%, respectively (P less than 0.001). Rapid increases in PpCO2 from approximately 50 to 80 Torr in a right-heart bypass preparation (with pulmonary blood flow constant) decreased PSR activity by 27%. Depression of firing, which was proportionately greater in deflation, was not dependent on changes in lung mechanics. Results show that loading CO2 intravascularly depresses PSR activity, the effects extending above as well as below resting PpCO2. Rapidly increasing PpCO2 above the resting level markedly depresses PSR activity during the transient. We conclude that PSRs may contribute to altered breathing resulting from changes in mixed venous PCO2 over the physiological range.

摘要

我们记录了麻醉犬的肺牵张感受器(PSR)活动,并在以室内空气对肺进行通气时,研究了在自然灌注和血管分离的肺循环中,改变肺动脉二氧化碳分压(PpCO2)的影响。PpCO2从约25 Torr稳定增加到50 Torr以及从50 Torr增加到70 Torr时,PSR活动(冲动/呼吸周期)分别降低了15%和9%(P<0.001)。在右心旁路制备中(肺血流量恒定),PpCO2从约50 Torr快速增加到80 Torr时,PSR活动降低了27%。放电抑制在呼气时比例更大,且不依赖于肺力学的变化。结果表明,血管内加载二氧化碳会抑制PSR活动,其影响在静息PpCO2之上和之下均有体现。在短暂期间,将PpCO2快速增加到静息水平以上会显著抑制PSR活动。我们得出结论,在生理范围内,PSR可能参与了因混合静脉血PCO2变化而导致的呼吸改变。

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