Hwang W W, Yamashiro S M, Sedlock D, Grodins F S
Department of Biomedical Engineering, University of Southern California, Los Angeles 90089-1451.
J Appl Physiol (1985). 1988 Aug;65(2):788-96. doi: 10.1152/jappl.1988.65.2.788.
The problem faced in determining the ventilatory response to CO2 near eupnea has been the difficulty of unloading metabolically produced CO2 from the subject in the steady state. Previous methods using extracorporeal circuits to unload CO2 are technically difficult and provide a limited number of experimental states per experiment. Using the method of high-frequency ventilation to unload CO2, we were able to obtain a large number of determinations in the same subject under conditions of hypoxia, normoxia, and hyperoxia. Data collected in five awake dogs show that the ventilatory response to CO2 is linear down to apnea during normoxic conditions but exhibits nonlinear behavior dependent on the level of arterial O2 tension. During hyperoxic conditions, the response was concave curvilinear, with a statistically significant decrease in slope near apnea. In contrast, mild hypoxia led to a convex curvilinear response with an increased slope near apnea.
在确定接近平静呼吸时对二氧化碳的通气反应方面所面临的问题是,在稳定状态下难以从受试者体内排出代谢产生的二氧化碳。以前使用体外循环来排出二氧化碳的方法在技术上有难度,并且每个实验能提供的实验状态数量有限。采用高频通气法来排出二氧化碳,我们得以在同一受试者身上,在低氧、常氧和高氧条件下进行大量测定。在五只清醒犬身上收集的数据表明,在常氧条件下,对二氧化碳的通气反应直至呼吸暂停都是呈线性的,但表现出依赖于动脉血氧张力水平的非线性行为。在高氧条件下,反应呈凹曲线,在接近呼吸暂停时斜率有统计学意义的下降。相比之下,轻度低氧导致呈凸曲线反应,在接近呼吸暂停时斜率增加。