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清醒小马从鼻腔呼吸转换为气管造口呼吸时的呼吸变化。

Changes in breathing when switching from nares to tracheostomy breathing in awake ponies.

作者信息

Forster H V, Pan L G, Bisgard G E, Flynn C, Hoffer R E

出版信息

J Appl Physiol (1985). 1985 Oct;59(4):1214-21. doi: 10.1152/jappl.1985.59.4.1214.

Abstract

We assessed the consequences of respiratory unloading associated with tracheostomy breathing (TBr). Three normal and three carotid body-denervated (CBD) ponies were prepared with chronic tracheostomies that at rest reduced physiological dead space (VD) from 483 +/- 60 to 255 +/- 30 ml and lung resistance from 1.5 +/- 0.14 to 0.5 +/- 0.07 cmH2O . l-1 . s. At rest and during steady-state mild-to-heavy exercise arterial PCO2 (PaCO2) was approximately 1 Torr higher during nares breathing (NBr) than during TBr. Pulmonary ventilation and tidal volume (VT) were greater and alveolar ventilation was less during NBr than TBr. Breathing frequency (f) did not differ between NBr and TBr at rest, but f during exercise was greater during TBr than during NBr. These responses did not differ between normal and CBD ponies. We also assessed the consequences of increasing external VD (300 ml) and resistance (R, 0.3 cmH2O . l-1 . s) by breathing through a tube. At rest and during mild exercise tube breathing caused PaCO2 to transiently increase 2-3 Torr, but 3-5 min later PaCO2 usually was within 1 Torr of control. Tube breathing did not cause f to change. When external R was increased 1 cmH2O . l-1 . s by breathing through a conventional air collection system, f did not change at rest, but during exercise f was lower than during unencumbered breathing. These responses did not differ between normal, CBD, and hilar nerve-denervated ponies, and they did not differ when external VD or R were added at either the nares or tracheostomy.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

我们评估了与气管造口呼吸(TBr)相关的呼吸负荷减轻的后果。对3匹正常小马和3匹颈动脉体去神经支配(CBD)的小马进行了慢性气管造口术,在静息状态下,生理死腔(VD)从483±60毫升减少到255±30毫升,肺阻力从1.5±0.14厘米水柱·升⁻¹·秒降至0.5±0.07厘米水柱·升⁻¹·秒。在静息和稳态轻度至重度运动期间,经鼻孔呼吸(NBr)时的动脉二氧化碳分压(PaCO₂)比TBr时约高1托。NBr时的肺通气量和潮气量(VT)更大,而肺泡通气量比TBr时少。静息时NBr和TBr的呼吸频率(f)无差异,但运动期间TBr时的f高于NBr。正常小马和CBD小马的这些反应无差异。我们还评估了通过管子呼吸增加外部VD(300毫升)和阻力(R,0.3厘米水柱·升⁻¹·秒)的后果。静息和轻度运动期间,通过管子呼吸导致PaCO₂短暂升高2 - 3托,但3 - 5分钟后PaCO₂通常在对照值1托范围内。通过管子呼吸未导致f改变。当通过传统空气收集系统呼吸使外部R增加1厘米水柱·升⁻¹·秒时,静息时f无变化,但运动期间f低于无阻碍呼吸时。正常、CBD和肺门神经去神经支配的小马之间的这些反应无差异,并且在鼻孔或气管造口处添加外部VD或R时也无差异。(摘要截短于250字)

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