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二氧化碳与静脉回流及其作为猫通气刺激因素的相互作用

Carbon dioxide and venous return and their interaction as stimuli to ventilation in the cat.

作者信息

Ponte J, Purves M J

出版信息

J Physiol. 1978 Jan;274:455-75. doi: 10.1113/jphysiol.1978.sp012160.

Abstract
  1. Respiratory responses were measured in forty-seven cats, made decerebrate or anaesthetized with pentobarbitone or chloralose-urethane, to changes in the level of CO(2) infused into the inferior vena cava via an external oxygenator circuit or to changes in the volume of venous return or to the inhalation of CO(2).2. No consistent difference was found between the respiratory response to the increase in the level of CO(2) infused or CO(2) inhaled provided that the volume of venous return during both sets of tests was held constant at normal levels.3. If the volume of venous return was increased and the level of CO(2) infused maintained at levels such that V(CO2) did not increase, ventilation increased with a fall in P(a, CO2), a response lying approximately on the isometabolic curve.4. If the volume of venous return and the level of CO(2) infusion were raised together, a spectrum of intermediate respiratory responses was obtained which reproduced all those seen in earlier papers, in muscular exercise or other hypermetabolic states.5. None of the steady-state respiratory responses was significantly affected by bilateral vagotomy or section of the sinus nerves, though sinus nerve section slowed the responses to infused or inhaled CO(2) and they were then less precisely controlled.6. Additional experiments indicated that where CO(2) was infused or inhaled, the effective stimulus to respiration was an increase in mean P(a, CO2) in proportion to the CO(2) added and that the respiratory response to CO(2) was enhanced by reduced blood volume. How the changes in venous return were sensed and affected respiration, remains unclear.7. These results may explain why previous workers have obtained exaggerated respiratory responses to the infusion of CO(2) and why respiration increases rapidly at the start of exercise and is then maintained at high levels without discernible change in the chemical stimulus in arterial blood.
摘要
  1. 对47只猫进行了呼吸反应测量,这些猫已做去大脑处理,或用戊巴比妥或氯醛糖 - 乌拉坦麻醉,以观察通过外部氧合器回路注入下腔静脉的二氧化碳水平变化、静脉回流量变化或吸入二氧化碳时的呼吸反应。

  2. 只要两组测试期间的静脉回流量保持在正常水平不变,发现对注入二氧化碳水平增加或吸入二氧化碳的呼吸反应之间没有一致的差异。

  3. 如果静脉回流量增加,且注入的二氧化碳水平保持在使V(CO2)不增加的水平,通气量会随着动脉血二氧化碳分压(P(a,CO2))下降而增加,该反应大致位于等代谢曲线上。

  4. 如果静脉回流量和二氧化碳注入水平同时提高,会获得一系列中间呼吸反应,这些反应重现了早期论文中、肌肉运动或其他高代谢状态下所见的所有反应。

  5. 双侧迷走神经切断术或窦神经切断术均未对任何稳态呼吸反应产生显著影响,不过窦神经切断术会减慢对注入或吸入二氧化碳的反应,且反应随后控制得不太精确。

  6. 额外的实验表明,在注入或吸入二氧化碳的情况下,对呼吸的有效刺激是平均动脉血二氧化碳分压(P(a,CO2))按添加的二氧化碳比例增加,且血容量减少会增强对二氧化碳的呼吸反应。静脉回流量的变化如何被感知并影响呼吸,仍不清楚。

  7. 这些结果或许可以解释为什么之前的研究人员对注入二氧化碳获得了夸大的呼吸反应,以及为什么运动开始时呼吸迅速增加,随后维持在高水平,而动脉血中的化学刺激却没有明显变化。

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