Stremel R W, Whipp B J, Casaburi R, Huntsman D J, Wasserman K
J Appl Physiol Respir Environ Exerc Physiol. 1979 Jun;46(6):1171-7. doi: 10.1152/jappl.1979.46.6.1171.
The ventilatory responses to diminished pulmonary blood flow (Qc), as a result of partial cardiopulmonary bypass (PCB), were studied in chloralose-urethan-anesthetized dogs. Qc was reduced by diverting vena caval blood through a membrane gas exchanger and returning it to the ascending aorta. PCB flows of 400--1,600 ml/min were utilized for durations of 2--3 min. Decreasing Qc, while maintaining systemic arterial blood gases and perfusion, results in a significant (P less than 0.05) decrease in expiratory ventilation (VE) (15.9%) and alveolar ventilation (VA) (31.0%). The ventilatory decreases demonstrated for this intact group persist after bilateral cervical vagotomy (Vx), carotid body and carotid sinus denervation (Cx), and combined Vx and Cx. The changes in VE and VA were significantly (P less than 0.001) correlated with VCO2 changes, r = 0.80 and r = 0.93, respectively. These ventilatory changes were associated with an overall average decrease in left ventricular PCO2 of 2.1 Torr; this decrease was significant (P less than 0.05) only in the intact and Cx groups. Decreasing pulmonary blood flow results in a decrease in ventilation that may be CO2 related; however, the exact mechanism remains obscure but must have a component that is independent of vagally mediated cardiac and pulmonary afferents and peripheral baroreceptor and chemoreceptor afferents.
在水合氯醛-乌拉坦麻醉的犬中,研究了部分体外循环(PCB)导致肺血流量(Qc)减少时的通气反应。通过将腔静脉血分流经过膜式气体交换器并将其返回升主动脉来减少Qc。PCB流量为400 - 1600 ml/min,持续2 - 3分钟。在维持体动脉血气和灌注的同时降低Qc,会导致呼气通气量(VE)显著(P < 0.05)降低(15.9%)和肺泡通气量(VA)显著降低(31.0%)。对于这个完整组所显示的通气量降低,在双侧颈迷走神经切断术(Vx)、颈动脉体和颈动脉窦去神经支配(Cx)以及联合Vx和Cx后仍然存在。VE和VA的变化与VCO2变化显著(P < 0.001)相关,r分别为0.80和0.93。这些通气变化与左心室PCO2总体平均降低2.1 Torr相关;这种降低仅在完整组和Cx组中显著(P < 0.05)。肺血流量减少导致通气量降低,这可能与CO2有关;然而,确切机制仍不清楚,但肯定有一个成分独立于迷走神经介导的心脏和肺传入神经以及外周压力感受器和化学感受器传入神经。