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颈动脉体切除术后五年清醒猫的低氧通气控制

Hypoxic ventilatory control in the awake cat five years after carotid body resection.

作者信息

Fordyce W E

出版信息

Respir Physiol. 1987 Aug;69(2):209-25. doi: 10.1016/0034-5687(87)90028-4.

Abstract

Steady state breathing patterns, alveolar gases, and arterial blood gases and pH were measured during air, acute hypoxia, and acute hyperoxia in four awake cats 5 years after combined carotid body resection (CBR) and aortic depressor nerve section. Steady state breathing patterns and alveolar gases were also measured in these animals following 3 days of hypoxia (PIO2 = 110 Torr). The results show that the awake cat without carotid bodies and aortic depressor nerves hypoventilates during normoxia in relation to intact cats. Acute hypoxia resulted in respiratory acidosis, decreased tidal volume (VT), and decreased breath duration (TTOT). Exposure to hypoxia for three days resulted in no hyperventilation (isocapnia) but increased VT and TTOT from their levels during acute hypoxia. Acute hyperoxia resulted in respiratory alkalosis and increased VT. Moderate degrees of acute inspiratory hypoxia (FIO2 less than 0.12) induced a behavioral 'arousal' in these cats; this is in direct contrast to the lack of response seen shortly after CBR. Presumably, the recrudescence of chemosensitivity via unsectioned aortic chemoreceptor afferents played a key role in the arousal responses. However, there is no evidence in the cat for recrudescent chemoreceptor input to the respiratory control system with measurable steady state effect. We conclude that the peripheral chemoreceptors are essential for normal resting ventilatory control and for acclimation to chronic hypoxia.

摘要

在4只清醒猫进行颈动脉体切除术(CBR)和主动脉减压神经切断术5年后,分别在空气、急性低氧和急性高氧条件下测量其稳态呼吸模式、肺泡气体、动脉血气和pH值。在这些动物经历3天低氧(吸入氧分压=110托)后,也测量了其稳态呼吸模式和肺泡气体。结果显示,与完整猫相比,无颈动脉体和主动脉减压神经的清醒猫在常氧状态下通气不足。急性低氧导致呼吸性酸中毒、潮气量(VT)降低和呼气持续时间(TTOT)缩短。暴露于低氧3天未导致通气过度(等碳酸血症),但与急性低氧时相比,VT和TTOT增加。急性高氧导致呼吸性碱中毒和VT增加。中度急性吸气性低氧(吸入氧分数小于0.12)在这些猫中诱发行为“觉醒”;这与CBR后不久观察到的无反应形成直接对比。推测通过未切断的主动脉化学感受器传入神经的化学敏感性恢复在觉醒反应中起关键作用。然而,在猫中没有证据表明化学感受器输入到呼吸控制系统并产生可测量的稳态效应。我们得出结论,外周化学感受器对于正常的静息通气控制和对慢性低氧的适应至关重要。

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