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人在静息和运动时对吸入二氧化碳的通气反应。

Ventilatory responses to inhaled carbon dioxide at rest and during exercise in man.

作者信息

Jacobi M S, Iyawe V I, Patil C P, Cummin A R, Saunders K B

机构信息

Department of Medicine I, St George's Hospital Medical School, London.

出版信息

Clin Sci (Lond). 1987 Aug;73(2):177-82. doi: 10.1042/cs0730177.

Abstract
  1. Rapid steady-state CO2 responses were determined in six normal subjects at rest and five subjects at four different work loads up to 125 W, by injecting pure CO2 at constant flow into a small mixing chamber in the inspiratory limb of a breathing circuit. 2. The time course of the response of ventilation (V) and mean alveolar PCO2 (PACO2) was checked in separate experiments, where the flow rate of injected CO2 was changed abruptly and the effects were followed for 10 min. 3. V and PACO2 were measured every breath, and the results ensemble-averaged for each subject (two or three runs per subject) and then for the groups as a whole, in 30 s or 60 s time bins. 4. PACO2 during exercise was estimated by graphical reconstruction from the sloping alveolar plateau, and separately by the empirical equation of Jones, Robertson & Kane [1]. At rest, PACO2 was assumed equal to end-tidal PCO2 (PetCO2). 5. With the constant inflow technique, 4 min was required to reach steady-state V and PACO2 during exercise, and 6 min at rest. 6. At rest, with 4 min steps (doubtful steady state) the averaged CO2 response was concave up. With 6 min steps the response was almost linear. In neither case was the deviation from linearity statistically significant. 7. During exercise, the averaged CO2 responses were essentially isocapnic at work loads greater than 75 W with either method of deriving PACO2.
摘要
  1. 通过以恒定流量将纯二氧化碳注入呼吸回路吸气支的一个小混合室,在6名静息的正常受试者以及5名处于高达125瓦的四种不同工作负荷下的受试者中测定快速稳态二氧化碳反应。2. 在单独的实验中检查通气量(V)和平均肺泡PCO₂(PACO₂)的反应时间进程,其中突然改变注入二氧化碳的流速并跟踪其影响10分钟。3. 每呼吸一次测量V和PACO₂,并将结果对每个受试者进行总体平均(每个受试者进行两到三次运行),然后对整个组进行平均,时间间隔为30秒或60秒。4. 运动期间的PACO₂通过从倾斜的肺泡平台进行图形重建来估计,也通过琼斯、罗伯逊和凯恩[1]的经验方程单独估计。静息时,假定PACO₂等于呼气末PCO₂(PetCO₂)。5. 使用恒定流入技术,运动期间达到稳态V和PACO₂需要4分钟,静息时需要6分钟。6. 静息时,以4分钟步长(可疑稳态)平均的二氧化碳反应呈向上凹形。以6分钟步长时反应几乎呈线性。在这两种情况下,与线性的偏差在统计学上均无显著意义。7. 在运动期间,无论采用哪种推导PACO₂的方法,在工作负荷大于75瓦时平均二氧化碳反应基本上是等碳酸的。

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