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清醒的去窦主动脉神经绵羊对96小时低氧的外周循环反应。

Peripheral circulatory responses to 96 h of hypoxia in conscious sinoaortic-denervated sheep.

作者信息

Krasney J A, Miki K, McAndrews K, Hajduczok G, Curran-Everett D

出版信息

Am J Physiol. 1986 May;250(5 Pt 2):R868-74. doi: 10.1152/ajpregu.1986.250.5.R868.

Abstract

Conscious sheep exposed to 4 days of eucapnic hypoxia (arterial PO2 40 Torr, arterial PCO2 33 Torr) respond with sustained increases in heart rate, cardiac output, and coronary, cerebral, and respiratory muscle blood flows (Respir. Physiol. 59: 197-211, 1985). In the present investigation, seven adult ewes were studied during similar levels of hypoxia (arterial PO2 40 Torr, 4 days) after chronic section of the carotid sinus and aortic depressor nerves to determine the contribution of the arterial chemoreceptors to these responses. Ventilation and arterial PCO2 did not change, indicating that ventilatory acclimation did not occur. O2 consumption decreased by 24%. Cardiac output (thermodilution) increased by 12% for only 24 h, heart rate increased by 44-69% above normoxic levels for only 72 h, and stroke volume was unchanged. Systemic arterial pressure was unchanged, whereas pulmonary arterial pressure rose by 56%. Coronary flow (radio-labeled microspheres) increased from 155 +/- 50.4 (SE) to 299 +/- 81 ml X min-1 X 100 g-1 at 24 h and then declined to normoxic levels by 96 h. Cerebral flow rose from 62 +/- 6.5 to between 85 +/- 14.4 and 124 +/- 43.5 ml X min-1 X 100 g-1 for 96 h. These results indicate that the arterial chemoreflexes or reflexes secondary to increased ventilation are responsible for the continued elevation of heart rate, cardiac output, and coronary flow during eucapnic hypoxia.

摘要

清醒绵羊暴露于4天的等碳酸血症性低氧环境(动脉血氧分压40托,动脉血二氧化碳分压33托)时,心率、心输出量以及冠状动脉、脑和呼吸肌血流量会持续增加(《呼吸生理学》59: 197 - 211, 1985)。在本研究中,对7只成年母羊在慢性切断颈动脉窦和主动脉减压神经后,于类似低氧水平(动脉血氧分压40托,4天)下进行研究,以确定动脉化学感受器对这些反应的作用。通气和动脉血二氧化碳分压未发生变化,表明未出现通气适应。氧耗量下降了24%。心输出量(热稀释法)仅在24小时内增加了12%,心率仅在72小时内比常氧水平升高了44 - 69%,而每搏输出量未改变。体循环动脉压未变,而肺动脉压升高了56%。冠状动脉血流量(放射性标记微球法)在24小时时从155±50.4(标准误)增加至299±81毫升·分钟⁻¹·100克⁻¹,然后在96小时时降至常氧水平。脑血流量在96小时内从62±6.5增加至85±14.4至124±43.5毫升·分钟⁻¹·100克⁻¹之间。这些结果表明,在等碳酸血症性低氧期间,动脉化学反射或继发于通气增加的反射是心率、心输出量和冠状动脉血流量持续升高的原因。

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