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颈动脉体高碳酸血症不会引发山羊的通气适应。

Carotid body hypercapnia does not elicit ventilatory acclimatization in goats.

作者信息

Bisgard G E, Busch M A, Daristotle L, Berssenbrugge A D, Forster H V

出版信息

Respir Physiol. 1986 Jul;65(1):113-25. doi: 10.1016/0034-5687(86)90010-1.

Abstract

The carotid body (CB) perfusion model utilizes surgical vascular ligations to allow isolated blood supply to a single in situ CB in awake goats. The contralateral CB was excised. By use of an extracorporeal pump-oxygenator system the blood gas composition perfusing the CB can be controlled independently from that of the systemic arterial system including the brain. Using this model we compared the responses of systemically normoxic goats to CB hypercapnia and CB hypoxia. In 6 goats CB stimulation with hypercapnic-normoxic blood (mean PcbCO2 = 78 Torr, mean PcbO2 congruent to 100 Torr) produced acute hyperventilation (mean decrease in PaCO2 of 5.2 Torr, P less than 0.05) which remained constant over the 4-h perfusion period. Lack of a progressively increasing hyperventilation indicates that ventilatory acclimatization did not occur with hypercapnic CB perfusion. Hypoxic-normocapnic CB stimulation (mean PcbO2 = 40 Torr, mean PcbCO2 = 39 Torr) produced an acute mean decrease in PaCO2 of 5.5 Torr (P less than 0.05) in 6 additional goats. In contrast to CB hypercapnia, the acute hyperventilation induced by CB hypoxia was followed by a progressive time-dependent additional mean decrease in PaCO2 of 5.6 Torr (P less than 0.05) over a 4-h period (ventilatory acclimatization). These data are compatible with the concept of separate receptor mechanisms for hypercapnia and hypoxia in the CB and suggest that the early phase of ventilatory acclimatization to hypoxia in goats may result from a time-dependent increase in CB afferent output.

摘要

颈动脉体(CB)灌注模型利用外科血管结扎术,使清醒山羊体内单个原位CB获得独立的血液供应。对侧的CB被切除。通过使用体外泵-氧合器系统,灌注CB的血气成分可以独立于包括大脑在内的体循环动脉系统进行控制。利用该模型,我们比较了全身正常氧合山羊对CB高碳酸血症和CB低氧血症的反应。在6只山羊中,用高碳酸血症-正常氧合血液(平均PcbCO2 = 78托,平均PcbO2约为100托)刺激CB产生急性通气过度(平均PaCO2降低5.2托,P < 0.05),在4小时的灌注期内保持不变。缺乏逐渐增加的通气过度表明,高碳酸血症CB灌注时未发生通气适应。低氧血症-正常碳酸血症CB刺激(平均PcbO2 = 40托,平均PcbCO2 = 39托)在另外6只山羊中产生急性平均PaCO2降低5.5托(P < 0.05)。与CB高碳酸血症不同,CB低氧血症引起的急性通气过度之后,在4小时内PaCO2又有逐渐的、与时间相关的额外平均降低5.6托(P < 0.05)(通气适应)。这些数据与CB中高碳酸血症和低氧血症存在独立受体机制的概念相符,并表明山羊对低氧血症通气适应的早期阶段可能是由于CB传入输出随时间增加所致。

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