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气道和肺泡中的二氧化碳对通气的影响;在狗身上研究的迷走神经反射。

The effect of carbon dioxide in the airways and alveoli on ventilation; a vagal reflex studied in the dog.

作者信息

Bartoli A, Cross B A, Guz A, Jain S K, Noble M I, Trenchard D W

出版信息

J Physiol. 1974 Jul;240(1):91-109. doi: 10.1113/jphysiol.1974.sp010601.

Abstract
  1. The inhalation of CO(2) produces a tachypnoea only in the presence of intact vagus nerves; the present study was designed to examine the mechanism of this phenomenon in the dog.2. Closed-chest cardiopulmonary bypass was established in dogs weighing 16-24 kg, anaesthetized with chloralose. When the ;bypass' was established pulmonary blood flow ceased, P(A, CO2) was reduced and the respiratory rate slowed. 3-10% CO(2) in O(2) could then be inhaled without change in the level of P(a, CO2) set at the oxygenator.3. The addition of CO(2) in these concentrations to the inspired oxygen resulted in an increase in respiratory frequency, maximal at the first breath and sustained for the 1 min period of exposure. The increase in respiratory frequency was due to a shortening of expiratory duration. Inspiratory duration did not change. The response was absent after vagotomy.4. Inert gases in O(2), given as a control, had no effect on breathing.5. The effect of raising P(a, CO2) (by increasing the concentration of CO(2) in the gas equilibrating the blood in the oxygenator), was primarily to increase tidal volume.6. The ventilatory effect of inspiring CO(2)/O(2) mixtures was shown to be additive to the effect of raising P(a, CO2).7. These experiments show that an afferent vagal reflex originating from the lungs causes tachypnoea, when a dog, on ;bypass', inhales low concentrations of CO(2) in O(2).
摘要
  1. 只有在迷走神经完整的情况下,吸入二氧化碳才会引起呼吸急促;本研究旨在探讨犬类中这种现象的机制。

  2. 对体重16 - 24千克的犬用氯醛糖麻醉后建立闭胸式体外循环。建立“体外循环”后,肺血流停止,动脉血二氧化碳分压(P(A, CO2))降低,呼吸频率减慢。然后可以吸入氧气中含3 - 10%二氧化碳的混合气,而氧合器中设定的动脉血二氧化碳分压(P(a, CO2))水平不变。

  3. 在吸入的氧气中添加这些浓度的二氧化碳会导致呼吸频率增加,在第一口气时达到最大值,并在暴露的1分钟内持续。呼吸频率的增加是由于呼气持续时间缩短。吸气持续时间不变。迷走神经切断后该反应消失。

  4. 作为对照,氧气中的惰性气体对呼吸没有影响。

  5. 提高动脉血二氧化碳分压(通过增加在氧合器中与血液平衡的气体中二氧化碳的浓度)的作用主要是增加潮气量。

  6. 吸入二氧化碳/氧气混合气的通气作用被证明与提高动脉血二氧化碳分压的作用具有相加性。

  7. 这些实验表明,当犬在“体外循环”时吸入氧气中低浓度的二氧化碳时,源自肺部的迷走神经传入反射会引起呼吸急促。

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