Boutellier U, Arieli R, Farhi L E
Respir Physiol. 1985 Nov;62(2):141-51. doi: 10.1016/0034-5687(85)90110-0.
During foot-to-head acceleration (+Gz) ventilation increases despite a drop in alveolar PCO2. In order to investigate the underlying mechanisms, we measured ventilation (VE), VO2, VCO2 and PACO2, cardiac output (Q) and mixed venous CO2 concentration (CVCO2) using non-invasive techniques in 5 subjects breathing either air or a gas mixture containing 5% CO2 at +1, +2 and +3 Gz in a human centrifuge. Arterial PCO2 was calculated from Fick's equation, using CVCO2, Q and VCO2. VE increased from 8.7 to 18.0 L/min during air breathing and from 19.6 to 36.9 L/min during CO2 breathing at +1 and +3 Gz, respectively. The corresponding values for PACO2 are 37.9 vs 26.9 Torr and 47.8 vs 46.4 Torr. Q dropped from 5.9 to 4.8 L/min during air breathing and remained the same during CO2 breathing (6.7 vs 6.5 L/min). As the decrease of PaCO2 almost paralleled that of PACO2, the arterio-alveolar CO2 difference increased only slightly. The CO2 response curve shifts gradually to the left with an increase in +Gz, a fact that does not support the hypothesis that foot-to-head acceleration increases CO2 sensitivity.
在足到头加速(+Gz)过程中,尽管肺泡PCO2下降,但通气量仍会增加。为了探究其潜在机制,我们使用非侵入性技术,对5名受试者在人体离心机中以+1、+2和+3 Gz的加速度呼吸空气或含5% CO2的混合气体时的通气量(VE)、耗氧量(VO2)、二氧化碳排出量(VCO2)和肺泡气PCO2(PACO2)、心输出量(Q)以及混合静脉血CO2浓度(CVCO2)进行了测量。动脉血PCO2由菲克方程根据CVCO2、Q和VCO2计算得出。在+1和+3 Gz时,空气呼吸期间VE分别从8.7升/分钟增加到18.0升/分钟,CO2呼吸期间从19.6升/分钟增加到36.9升/分钟。PACO2的相应值分别为37.9对比26.9托以及47.8对比46.4托。空气呼吸期间Q从5.9升/分钟降至4.8升/分钟,CO2呼吸期间保持不变(6.7对比6.5升/分钟)。由于动脉血PCO2的下降几乎与PACO2的下降平行,动脉-肺泡CO2差值仅略有增加。随着+Gz增加,CO2反应曲线逐渐向左移动,这一事实不支持足到头加速会增加CO2敏感性这一假说。