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急性出血对猫呼吸的影响。

The effects of acute haemorrhage on respiration in the cat.

作者信息

D'Silva J L, Gill D, Mendel D

出版信息

J Physiol. 1966 Nov;187(2):369-77. doi: 10.1113/jphysiol.1966.sp008096.

Abstract
  1. The effect of haemorrhage on minute ventilation, arterial blood pH and end-tidal CO(2) has been investigated in cats anaesthetized with Nembutal. There was no change in minute ventilation with alteration of blood pressure above 100 mm Hg. Below this level ventilation progressively increased, the minute ventilation at 60 mm Hg being 33% above that at 100 mm Hg. The increase in minute ventilation was always associated with a fall in end-tidal CO(2) and a decrease in arterial blood hydrogen ion concentration.2. The effects were not influenced by vagotomy, but were abolished by carotid sinus denervation or carotid body destruction. After vagotomy and sinus denervation or aortic and carotid chemoreceptor destruction, haemorrhage resulted in a depression of respiration.3. The changes in arterial blood pH and end-tidal CO(2) did not occur without a change in minute ventilation.4. When the changes in arterial blood pH during haemorrhage were prevented by administration of CO(2) there was a marked increase in minute ventilation. It is concluded that the respiratory drive to respiration in the cat during haemorrhage is controlled mainly by carotid body chemoreceptors and that the resultant alkalaemia decreases the respiratory response.
摘要
  1. 研究了戊巴比妥麻醉的猫失血对每分通气量、动脉血pH值和呼气末二氧化碳的影响。血压高于100 mmHg时,每分通气量无变化。低于此水平时,通气量逐渐增加,60 mmHg时的每分通气量比100 mmHg时高33%。每分通气量的增加总是与呼气末二氧化碳的下降和动脉血氢离子浓度的降低相关。

  2. 这些效应不受迷走神经切断术的影响,但可被颈动脉窦去神经支配或颈动脉体破坏所消除。在迷走神经切断术和窦神经去神经支配或主动脉和颈动脉化学感受器破坏后,失血导致呼吸抑制。

  3. 动脉血pH值和呼气末二氧化碳的变化如果没有每分通气量的变化就不会发生。

  4. 当通过给予二氧化碳防止失血期间动脉血pH值的变化时,每分通气量显著增加。得出的结论是,猫在失血期间对呼吸的驱动主要由颈动脉体化学感受器控制,并且由此产生的碱血症会降低呼吸反应。

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本文引用的文献

1
Chemoreceptor impulse activity following haemorrhage.
Acta Physiol Scand. 1951 Aug 25;23(2-3):158-67. doi: 10.1111/j.1748-1716.1951.tb00805.x.
2
The effects of hemorrhage of pulmonary circulation and respiratory gas exchange.
J Clin Invest. 1959 Mar;38(3):524-38. doi: 10.1172/JCI103830.
3
Observations on the volume of blood flow and oxygen utilization of the carotid body in the cat.
J Physiol. 1954 Jul 28;125(1):67-89. doi: 10.1113/jphysiol.1954.sp005143.

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