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犬肺血管对通气性低氧和低氧血症反应的调控条件。

Conditions governing the pulmonary vascular response to ventilation hypoxia and hypoxaemia in the dog.

作者信息

Daly I D, Michel C C, Ramsay D J, Waaler B A

出版信息

J Physiol. 1968 May;196(2):351-79. doi: 10.1113/jphysiol.1968.sp008512.

Abstract
  1. Isolated lung lobes of the dog perfused through the pulmonary circulation only with atropinized autologous blood obtained by bleeding out the animal under general anaesthesia or following premedication with morphine hydrochloride were subjected to repetitive tests of ventilation hypoxia, the control and test gas mixtures containing similar concentrations of CO(2).2. The pulmonary vasomotor response to ventilation hypoxia depended upon the temperature of the perfusate and the time which had elapsed from the death of the animal to the start of perfusion, termed the ;ischaemic period'. The higher blood temperatures and shorter ischaemic periods favoured a pulmonary vasopressor response to hypoxia, and the lower temperatures and longer ischaemic periods a vasodepressor response or an absence of response.3. The vasopressor responses to hypoxia were associated with a rise in the pH (average, 0.09 in 5 experiments) and a fall in the P(CO2) of the blood. There were no consistent changes in the pH and P(CO2) of the blood accompanying vasodepressor responses.4. The vasopressor responses could be obtained over periods of perfusion lasting 4 hr or longer.5. It is suggested that changes in the composition of blood equilibrated in the isolated perfused lung cannot be predicted from in vitro dissociation curves.
摘要
  1. 仅用在全身麻醉下或预先用盐酸吗啡预处理后放血获得的经阿托品处理的自体血液通过肺循环灌注犬的离体肺叶,对其进行通气性缺氧的重复试验,对照和试验气体混合物中二氧化碳浓度相似。

  2. 肺血管对通气性缺氧的反应取决于灌注液的温度以及从动物死亡到开始灌注所经过的时间,即“缺血期”。较高的血液温度和较短的缺血期有利于肺血管对缺氧产生升压反应,而较低的温度和较长的缺血期则有利于产生降压反应或无反应。

  3. 对缺氧的升压反应与血液pH值升高(5次实验中平均升高0.09)和P(CO2)降低有关。降压反应时血液的pH值和P(CO2)没有一致的变化。

  4. 在长达4小时或更长时间的灌注期间可获得升压反应。

  5. 提示不能根据体外解离曲线预测在离体灌注肺中平衡的血液成分变化。

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