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通过呼吸二氧化碳对内耳PO2和耳蜗电位的影响

Variation of endocochlear PO2 and cochlear potentials by breathing carbon dioxide.

作者信息

Prazma J, Fischer N D, Biggers W P, Ascher D

出版信息

Ann Otol Rhinol Laryngol. 1979 Mar-Apr;88(2 Pt 1):222-7. doi: 10.1177/000348947908800213.

Abstract

The effect of carbon dioxide on oxygen dioxide tension in the endolymph was determined by the micropolarographic technique. Different concentrations (5% and 10% CO2) and different exposure times (3, 5, and 20 minutes) were investigated. The highest levels of PO2 in the endolymph (101.7, 93.9 and 69.5 mm Hg) were accomplished by respiration of 10% CO2, 90% O2, for 20, 5 and 3 minutes consecutively. The lowest PO2 increase, 50.7 mm Hg was observed after breathing 5% CO2, 90% O2 for 20 minutes. Extreme hypercapnia caused an increase of endocochlear potentials (EP) in all groups. In the second group EP increased from +79.3 to +84.9 and in all groups they had returned to the pretreatment level after CO2 discontinuation. These results support the theory that carbonic anhydrase participates in the generation of EP. At the same time that EP increased, cochlear microphonics declined and opposite after the breathing mixture was discontinued. The results permit the conclusion that high levels of PO2 in endolymph is achievable even with short periods of respiration with high CO2 mixture, and suggest the role of carbonic anhydrase during EP generation.

摘要

采用微量极谱技术测定了二氧化碳对内淋巴中氧分压的影响。研究了不同浓度(5%和10%二氧化碳)和不同暴露时间(3、5和20分钟)的情况。内淋巴中最高的氧分压水平(101.7、93.9和69.5毫米汞柱)是通过依次呼吸10%二氧化碳、90%氧气20、5和3分钟实现的。在呼吸5%二氧化碳、90%氧气20分钟后,观察到最低的氧分压升高,为50.7毫米汞柱。极端高碳酸血症导致所有组的内耳蜗电位(EP)升高。在第二组中,EP从+79.3增加到+84.9,并且在所有组中,停止二氧化碳吸入后它们都恢复到了预处理水平。这些结果支持碳酸酐酶参与EP产生的理论。在EP升高的同时,耳蜗微音电位下降,在停止呼吸混合气后则相反。结果表明,即使短时间呼吸高二氧化碳混合气也能在内淋巴中实现高水平的氧分压,并提示了碳酸酐酶在EP产生过程中的作用。

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