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二氧化碳对狭窄气道的作用。

The action of carbon dioxide on constricted airways.

作者信息

Astin T W, Barer G R, Shaw J W, Warren P M

出版信息

J Physiol. 1973 Dec;235(3):607-23. doi: 10.1113/jphysiol.1973.sp010407.

Abstract
  1. In artificially ventilated open-chest cats and dogs ventilation with 5-15% CO(2) reversed the bronchoconstriction caused by drugs or by pulmonary artery occlusion. Total lung resistance, ;static' lung compliance, and intratracheal or intrabronchial pressure at constant pump stroke were measured.2. CO(2) reduced resistance and increased compliance of the lung during infusions of 5-hydroxytryptamine (5-HT), histamine and acetylcholine in cats. In dogs CO(2) reduced resistance during 5-HT infusions; it caused small reductions in intratracheal pressure but no significant change in resistance during infusions of histamine and acetylcholine. Even in cats CO(2) had a larger effect during 5-HT than during histamine and acetylcholine infusions.3. Occlusion of a pulmonary artery caused increases in resistance and decreases in compliance in the affected lobes of both cats and dogs. These changes were partly reversed by ventilation with high CO(2) mixtures.4. The bronchodilator action of CO(2) took place over a wide range of P(a, CO2) values (20-100 torr).
摘要
  1. 在人工通气的开胸猫和狗中,用5% - 15%的二氧化碳进行通气可逆转由药物或肺动脉阻塞引起的支气管收缩。测量了总肺阻力、“静态”肺顺应性以及在恒定泵冲程下的气管内或支气管内压力。

  2. 在猫中,二氧化碳在输注5 - 羟色胺(5 - HT)、组胺和乙酰胆碱期间降低了肺阻力并增加了肺顺应性。在狗中,二氧化碳在输注5 - HT期间降低了阻力;在输注组胺和乙酰胆碱期间,它使气管内压力略有降低,但阻力无显著变化。即使在猫中,二氧化碳在输注5 - HT期间的作用也比在输注组胺和乙酰胆碱期间更大。

  3. 肺动脉阻塞导致猫和狗受影响肺叶的阻力增加和顺应性降低。这些变化通过用高二氧化碳混合气通气得到部分逆转。

  4. 二氧化碳的支气管扩张作用在广泛的动脉血二氧化碳分压(P(a, CO2))值范围(20 - 100托)内发生。

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