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环境因素在高压性心动过缓发生中的作用

Contribution of environmental factors in development of hyperbaric bradycardia.

作者信息

Shida K K, Lin Y C

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1981 Apr;50(4):731-5. doi: 10.1152/jappl.1981.50.4.731.

Abstract

Bradycardia has been observed in animals and humans upon exposure to various hyperbaric environments. However, the relative contribution of ambient pressure, gas density, inert gas species, and inspired O2 tension has not been defined. By means of cutaneous ECG leads, the heart rates of unanesthetized rats were recorded and compared in 11 separate thermo-neutral environments. Ambient pressures applied were 1, 3, and 10 ATA, O2 partial pressure PO2 ranged from 140 to 1,590 Torr, and gas densities were varied from 0.40 to 11.45 g/l, utilizing either N2-O2 or He-O2 mixtures. The exposure heart rates were averaged over a 30-min period and compared with a preceding control value obtained in 1 ATA normoxic He or N2. Significant bradycardia was associated with hyperoxia in environments containing either He or N2, with a magnitude proportional to log PO2. On the other hand, under normoxic conditions bradycardia was not observed despite the similar density, pressure, and inert gas components. It is concluded that hyperoxia is the most important variable of those considered in the development of hyperbaric bradycardia.

摘要

在动物和人类暴露于各种高压环境时,已观察到心动过缓。然而,环境压力、气体密度、惰性气体种类和吸入氧分压的相对作用尚未明确。通过皮肤心电图导联,在11个不同的热中性环境中记录并比较了未麻醉大鼠的心率。所施加的环境压力为1、3和10个绝对大气压(ATA),氧分压(PO2)范围为140至1590托,利用N2 - O2或He - O2混合物使气体密度在0.40至11.45克/升之间变化。将暴露期间的心率在30分钟内进行平均,并与在1个ATA常氧He或N2环境中获得的先前对照值进行比较。在含有He或N2的环境中,显著的心动过缓与高氧有关,其程度与log PO2成正比。另一方面,在常氧条件下,尽管密度、压力和惰性气体成分相似,但未观察到心动过缓。结论是,在高压性心动过缓的发生过程中,高氧是所考虑的这些因素中最重要的变量。

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