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肺动脉血二氧化碳分压对呼吸模式的影响。

Effect of pulmonary arterial PCO2 on breathing pattern.

作者信息

Schertel E R, Schneider D A, Adams L, Green J F

机构信息

Department of Human Physiology, School of Medicine, University of California, Davis 95616.

出版信息

J Appl Physiol (1985). 1988 May;64(5):1844-50. doi: 10.1152/jappl.1988.64.5.1844.

Abstract

We studied breathing patterns and tidal volume (VT)-inspiratory time (TI) relationships at three steady-state levels of pulmonary arterial PCO2 (PpCO2) in 10 anesthetized dogs. To accomplish this we isolated and then separately pump perfused the pulmonary and systemic circulations, which allowed us to control blood gases in each circuit independently. To ventilate the lungs at a rate and depth determined by central drive, we used an electronically controlled positive-pressure ventilator driven by inspiratory phrenic neural activity. Expiratory time (TE) varied inversely with PpCO2 over the range of PpCO2 from approximately 20 to 80 Torr. VT and TI increased with rising PpCO2 over the range from approximately 20 to 45 Torr but did not change further as PpCO2 was raised above the middle level of approximately 45 Torr. Thus minute ventilation increased as a function of TE and VT as PpCO2 was increased over the lower range and increased solely as a function of TE as PpCO2 was increased over the upper range. The VT-TI relationship shifted leftward on the time axis as PpCO2 was lowered below the middle level but did not shift in the opposite direction as PpCO2 was raised above the middle level. In addition to its effect on breathing pattern, we found that pulmonary hypocapnia depressed inspiratory drive.

摘要

我们在10只麻醉犬身上研究了在三种稳态肺动脉二氧化碳分压(PpCO2)水平下的呼吸模式以及潮气量(VT)与吸气时间(TI)的关系。为实现这一点,我们分离并分别用泵灌注肺循环和体循环,这使我们能够独立控制每个循环中的血气。为了以由中枢驱动决定的速率和深度对肺进行通气,我们使用了由吸气膈神经活动驱动的电子控制正压呼吸机。在大约20至80托的PpCO2范围内,呼气时间(TE)与PpCO2呈反比。在大约20至45托的范围内,VT和TI随PpCO2升高而增加,但当PpCO2升高到大约45托的中间水平以上时,它们不再进一步变化。因此,在较低范围内随着PpCO2升高,分钟通气量作为TE和VT的函数增加,而在较高范围内随着PpCO2升高,分钟通气量仅作为TE的函数增加。当PpCO2降低到中间水平以下时,VT-TI关系在时间轴上向左移动,但当PpCO2升高到中间水平以上时,关系不会向相反方向移动。除了对呼吸模式的影响外,我们还发现肺低碳酸血症会抑制吸气驱动。

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