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肺血管床对低氧和高碳酸血症的刺激-反应曲线。

Stimulus-response curves for the pulmonary vascular bed to hypoxia and hypercapnia.

作者信息

Barer G R, Howard P, Shaw J W

出版信息

J Physiol. 1970 Nov;211(1):139-55. doi: 10.1113/jphysiol.1970.sp009271.

Abstract
  1. In anaesthetized open-chest cats and dogs, blood flow and gas tensions were measured in a circuit inserted into a pulmonary vein while ventilating the lobe which it drained with low O(2) and high CO(2) mixtures.2. Both hypoxic and hypercapnic mixtures caused a reduction in blood flow from the lobe.3. Stimulus-response curves relating blood flow to pulmonary venous P(O2) and P(CO2) were obtained. Those for hypoxia were usually asymptotic in shape; the curves became steep below 100 torr and flow sometimes fell to zero. The mean reduction in blood flow for every 20 torr fall in P(O2) was 15.7% in cats and 11.8% in dogs. Those for hypercapnia were steep at first but levelled out at high P(CO2) values; the maximum reduction in flow was 40-60% as vasoconstriction was only observed over a limited P(CO2) range.4. Hypoventilation of the lobe led to a reduction in blood flow. This was mainly attributable to hypoxia though other factors such as hypercapnia may sometimes have contributed.5. Total occlusion of the bronchus of an O(2)-filled lobe caused blood flow to fall in two phases. The first phase could be attributed to a rise in P(CO2) and the second to a fall in P(O2).6. The results confirm the hypothesis that hypoxia is an important factor regulating local blood flow in relation to local ventilation.
摘要
  1. 在麻醉开胸的猫和狗身上,当用低氧和高二氧化碳混合气对某肺叶进行通气时,测量插入肺静脉的回路中的血流和气体张力。

  2. 低氧混合气和高碳酸血症混合气均导致该肺叶血流减少。

  3. 得出了血流与肺静脉血氧分压(P(O2))和二氧化碳分压(P(CO2))的刺激 - 反应曲线。低氧的曲线通常呈渐近线形状;在低于100托时曲线变陡,血流有时降至零。猫每降低20托P(O2),血流平均减少15.7%,狗为11.8%。高碳酸血症的曲线起初较陡,但在高P(CO2)值时趋于平稳;由于仅在有限的P(CO2)范围内观察到血管收缩,血流最大减少40 - 60%。

  4. 该肺叶通气不足导致血流减少。这主要归因于低氧,不过其他因素如高碳酸血症有时也可能起作用。

  5. 对充满氧气的肺叶支气管进行完全阻塞导致血流分两个阶段下降。第一阶段可归因于P(CO2)升高,第二阶段归因于P(O2)下降。

  6. 结果证实了以下假说:低氧是调节局部血流与局部通气相关的一个重要因素。

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Vascular response to short-term systemic hypoxia, hypercapnia, and asphyxia in the cat.
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