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新生羔羊在伴有或不伴有低氧情况下对吸入二氧化碳的呼吸反应。

The respiratory response of the new-born lamb to inhaled CO-2 with and without accompanying hypoxia.

作者信息

Purves M J

出版信息

J Physiol. 1966 Jul;185(1):78-94. doi: 10.1113/jphysiol.1966.sp007973.

Abstract
  1. The respiratory response to inhaled CO(2) was measured in twenty unanaesthetized new-born lambs aged 4 hr-10 days. Measurement of resting arterial pH, P(CO2) and plasma bicarbonate showed a non-respiratory acidosis immediately after birth which was corrected in the first 24-28 hr: thereafter, the acid-base pattern was of a compensated respiratory alkalosis.2. When CO(2) was added to the inspired gases and resting arterial oxygen tension (P(a), (O2)) was controlled, the average increase in minute ventilation (V) was 0.075 l.min(-1).kg(-1).mm Hg, P(a), (CO2) (-1) and duplicate responses in the same lamb differed by 6-22.5%.3. The slope of the V/P(a), (CO2) line (S) varied inversely with P(a), (O2). In one lamb, severe hypoxia (P(a), (O2) = 21 mm Hg) caused a marked depression of the slope.4. Neither the slope S nor the horizontal intercept B of the lines was related to the age of the lamb. B was not related to pH(a) and only slightly affected by acute hypoxia. B was related to arterial [HCO(3) (-)] and values for both were reduced with the acid-base disturbances seen in the first 10 days after birth. Evidence was given which suggested that the response of the new-born lamb to inhaled CO(2) was similar to that of man acclimatized to a P(a), (O2) of 70-75 mm Hg.5. In the lightly anaesthetized lamb, bilateral section of the sinus nerves caused a small reduction in the sensitivity to inhaled 5% CO(2) in air, an increase in the respiratory lag and a reduction in the rate at which V increased.6. It was concluded that, in the new-born lamb, the carotid chemo-receptors are involved in the response to inhaled CO(2) and that hypoxia potentiates this response.
摘要
  1. 对20只未麻醉、年龄在4小时至10天的新生羔羊测量了对吸入二氧化碳的呼吸反应。静息动脉血pH值、P(CO2)和血浆碳酸氢盐的测量显示,出生后立即出现非呼吸性酸中毒,并在最初的24 - 28小时内得到纠正:此后,酸碱模式为代偿性呼吸性碱中毒。

  2. 当向吸入气体中添加二氧化碳并控制静息动脉血氧分压(P(a),(O2))时,分钟通气量(V)的平均增加量为0.075升·分钟(-1)·千克(-1)·毫米汞柱,P(a),(CO2)(-1),同一只羔羊的重复反应相差6 - 22.5%。

  3. V/P(a),(CO2)线的斜率(S)与P(a),(O2)呈反比。在一只羔羊中,严重缺氧(P(a),(O2)=21毫米汞柱)导致斜率明显降低。

  4. 线的斜率S和水平截距B均与羔羊的年龄无关。B与pH(a)无关,仅受急性缺氧的轻微影响。B与动脉[HCO3(-)]相关,且两者的值在出生后的头10天内随着酸碱紊乱而降低。有证据表明,新生羔羊对吸入二氧化碳的反应类似于适应了P(a),(O2)为70 - 75毫米汞柱的人。

  5. 在轻度麻醉的羔羊中,双侧切断窦神经会导致对吸入空气中5%二氧化碳的敏感性略有降低、呼吸滞后增加以及V增加速率降低。

  6. 得出的结论是,在新生羔羊中,颈动脉化学感受器参与了对吸入二氧化碳的反应,并且缺氧会增强这种反应。

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Chemical stimuli of respiration in the early neonatal period.新生儿早期呼吸的化学刺激
J Pediatr. 1960 Aug;57:151-70. doi: 10.1016/s0022-3476(60)80049-2.
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THE REPEATABILITY OF VENTILATORY RESPONSES TO EXCESS OF CARBON DIOXIDE AND LACK OF OXYGEN.
Q J Exp Physiol Cogn Med Sci. 1964 Jan;49:43-51. doi: 10.1113/expphysiol.1964.sp001703.
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VENTILATORY RESPONSE TO INSPIRED CARBON DIOXIDE IN INFANTS AND ADULTS.
J Appl Physiol. 1963 Sep;18:895-903. doi: 10.1152/jappl.1963.18.5.895.
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Effect of altitude on respiratory regulation.海拔对呼吸调节的影响。
Ann N Y Acad Sci. 1963 Jun 24;109:815-28. doi: 10.1111/j.1749-6632.1963.tb13508.x.
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Concepts of threshold and sensitivity of ventilatory control.通气控制的阈值和敏感性概念。
Ann N Y Acad Sci. 1963 Jun 24;109:634-50. doi: 10.1111/j.1749-6632.1963.tb13494.x.

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