Gelfand R, Lambertsen C J, Strauss R, Clark J M, Puglia C D
J Appl Physiol Respir Environ Exerc Physiol. 1983 Jan;54(1):290-303. doi: 10.1152/jappl.1983.54.1.290.
Ventilation (V), end-tidal PCO2 (PACO2), and CO2 elimination rate were measured in men at rest breathing CO2-free gas over the pressure range 1-50 ATA and the gas density range 0.4-25 g/l, during slow and rapid compressions, at stable elevated ambient pressures and during slow decompressions in several phases of Predictive Studies III-1971 and Predictive Studies IV-1975. Inspired O2 was at or near natural O2 levels during compressions and at stable high pressures; it was 0.5 ATA during decompressions. Rapid compressions to high pressures did not impair respiratory homeostasis. Progressive increase in pulmonary gas flow resistance due to elevation of ambient pressure and inspired gas density to the He-O2 equivalent of 5,000 feet of seawater was not observed to progressively decrease resting V, or to progressively increase resting PACO2. Rather, a complex pattern of change in PACO2 was seen. As both ambient pressure and pulmonary gas flow resistance were progressively raised, PACO2 at first increased, went through a maximum, and then declined towards values near the 1 ATA level. It is suggested that this pattern of PACO2 change results from interaction on ventilation of 1) increase in pulmonary resistance due to elevation of gas density with 2) increase in respiratory drive postulated as due to generalized CNS excitation associated with exposure to high hydrostatic pressure. There may be a similar interaction between increased gas flow resistance and increase in respiratory drive related to nitrogen partial pressure and the narcosis resulting therefrom.
在预测研究III - 1971和预测研究IV - 1975的几个阶段中,对男性在1 - 50ATA压力范围和0.4 - 25g/l气体密度范围内,静息呼吸无二氧化碳气体时,进行缓慢和快速压缩、稳定的环境压力升高以及缓慢减压过程中,测量了通气量(V)、呼气末二氧化碳分压(PACO2)和二氧化碳清除率。在压缩过程中及稳定高压下,吸入氧处于或接近自然氧水平;减压过程中为0.5ATA。快速压缩至高压并未损害呼吸稳态。未观察到由于环境压力升高和吸入气体密度升高至相当于5000英尺海水的氦氧混合气,导致肺气体流动阻力逐渐增加,进而使静息通气量逐渐减少或静息PACO2逐渐增加。相反,观察到PACO2呈现复杂的变化模式。随着环境压力和肺气体流动阻力逐渐升高,PACO2起初升高,达到最大值,然后下降至接近1ATA水平的值。提示这种PACO2变化模式是由于以下因素对通气的相互作用导致的:1)气体密度升高引起肺阻力增加,以及2)假定由于与暴露于高静水压力相关的全身性中枢神经系统兴奋导致呼吸驱动力增加。在与氮分压及其导致的麻醉相关的气体流动阻力增加和呼吸驱动力增加之间,可能存在类似的相互作用。