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动脉血氧分压(PaO₂)的微小变化对二氧化碳输注通气反应的影响。

Effects of small changes in PaO2 on the ventilatory response to CO2 infusion.

作者信息

Bennett F M, Tallman R D, Grodins F S

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1983 Nov;55(5):1426-32. doi: 10.1152/jappl.1983.55.5.1426.

Abstract

The steady-state ventilatory responses to CO2 inhalation and two levels of intravenous CO2 infusion were examined in chronic awake dogs. Responses were obtained for four treatments: 1) air breathing, in which arterial O2 tension (PaO2) increased during infusion; 2) normoxia, PaO2 maintained at control levels; 3) hypoxia, PaO2 = 70 Torr; and 4) hyperoxia, PaO2 = 160 Torr. In three dogs, the ventilatory responses were obtained for treatments 1, 2, and 4 and in an additional three dogs for treatments 2, 3, and 4. Analysis of the data by directional statistics indicates that the response to infusion was hypercapnic for all treatments, and the slope of the response (change in minute ventilation divided by change in arterial CO2 tension) was identical to that of CO2 inhalation. Also, the slopes of the responses for the low infusion rate, CO2 output (VCO2) = 50%, and the high infusion rate, VCO2 = 270%, were identical, which suggests that the CO2 response is not significantly curvilinear near the eucapnic region. Finally, changing PaO2 between 70 and 160 Torr had no significant effect on the response slopes. Thus the ventilatory response to CO2 infusion in the awake dog is a hypercapnic hyperpnea that is not due to ventilatory inhibition arising from an increase in PaO2.

摘要

在慢性清醒犬中检测了对吸入二氧化碳和两种水平静脉注射二氧化碳的稳态通气反应。获得了四种处理的反应:1)空气呼吸,输注期间动脉血氧张力(PaO2)升高;2)常氧,PaO2维持在对照水平;3)低氧,PaO2 = 70托;4)高氧,PaO2 = 160托。三只犬获得了处理1、2和4的通气反应,另外三只犬获得了处理2、3和4的通气反应。通过定向统计分析数据表明,所有处理对输注的反应均为高碳酸血症性,反应斜率(分钟通气量变化除以动脉二氧化碳张力变化)与吸入二氧化碳的斜率相同。此外,低输注速率(二氧化碳排出量(VCO2) = 50%)和高输注速率(VCO2 = 270%)的反应斜率相同,这表明在等碳酸血症区域附近二氧化碳反应并非明显呈曲线。最后,将PaO2在70至160托之间改变对反应斜率无显著影响。因此,清醒犬对静脉注射二氧化碳的通气反应是一种高碳酸血症性呼吸增强,并非由于PaO2升高引起的通气抑制。

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