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极端低碳酸血症时的中枢呼吸二氧化碳敏感性。

Central respiratory CO2 sensitivity at extreme hypocapnia.

作者信息

Berkenbosch A, van Beek J H, Olievier C N, De Goede J, Quanjer P H

出版信息

Respir Physiol. 1984 Jan;55(1):95-102. doi: 10.1016/0034-5687(84)90119-1.

Abstract

In 7 cats anaesthetized with chloralose-urethane the ponto-medullary region was artificially perfused with blood having PaCO2 values (central PaCO2) in the range of 0.3-4.5 kPa. The ventilatory response to changes in central PaCO2 was measured at constant hypercapnic and hypoxic conditions in the systemic circulation. Ventilation decreased upon lowering the central PaCO2 down to values of 0.5 kPa. There was no threshold for the effect of the central PaCO2 on ventilation. The CO2 sensitivity was undiminished at extreme hypocapnia compared to eucapnia. Under extreme central hypocapnic conditions the breathing pattern became irregular. It is concluded that there is still central CO2 sensitivity related to ventilation at extreme hypocapnia. Our findings suggest that central chemosensitive structures have a neural threshold below a PaCO2 of 0.5 kPa.

摘要

在7只用氯醛糖-乌拉坦麻醉的猫中,用动脉血二氧化碳分压(PaCO2)值在0.3 - 4.5 kPa范围内的血液对脑桥延髓区域进行人工灌注。在体循环中恒定的高碳酸血症和低氧条件下,测量对中枢PaCO2变化的通气反应。将中枢PaCO2降至0.5 kPa时,通气量下降。中枢PaCO2对通气的影响没有阈值。与正常碳酸血症相比,在极端低碳酸血症时二氧化碳敏感性并未降低。在极端中枢性低碳酸血症条件下,呼吸模式变得不规则。结论是,在极端低碳酸血症时仍存在与通气相关的中枢二氧化碳敏感性。我们的研究结果表明,中枢化学敏感结构的神经阈值低于PaCO2 0.5 kPa。

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