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二氧化碳在体温过低和体温过高时对家兔颈总动脉血流的“反常”作用

"Paradoxical" effect of carbon dioxide on common carotid artery blood flow in rabbits during hypothermia and hyperthermia.

作者信息

Głowicki K, Ryba M

出版信息

Acta Physiol Pol. 1984 May-Jun;35(3):207-13.

PMID:6443250
Abstract

The relative effects of temperature and CO2 on the blood flow in the common carotid artery (CCBF) were investigated in vagotomized, paralyzed rabbits under urethane-chloralose general anaesthesia with artificial ventilation. During hypothermia a 52% fall of CCBF was observed in rabbits ventilated by the classic method. Administration of a hyperkapnic mixture for breathing caused a further 16% CCBF fall, with a simultaneous rise in PaCO2 by 23%. During ventilation with a respirator triggered by phrenic nerve activity hypothermia caused a 30% CCBF fall without changes in PaCO2 value. Administration of the hyperkapnic mixture for breathing caused, in these circumstances, a 9% CCBF fall with a 7% PaCO2 increase. Hyperthermia caused during ventilation by the classic method a 42% rise in CCBF and a 22% PaCO2 rise. The hyperkapnic mixture given for breathing decreased the CCBF by 9% and increased the PaCO2 by 15%. On the other hand, during ventilation with the respirator triggered by phrenic nerve activity no changes were observed in these parameters. This suggests that the thermic stimulus exerts a direct effect on the regulation of the blood flow to the brain, and during hypothermia it prevails over the stimulus produced by CO2.

摘要

在氨基甲酸乙酯 - 氯醛糖全身麻醉并人工通气的情况下,对迷走神经切断、麻痹的家兔研究了温度和二氧化碳对颈总动脉血流量(CCBF)的相对影响。在低温期间,采用经典方法通气的家兔中观察到CCBF下降了52%。给予高碳酸混合气呼吸导致CCBF进一步下降16%,同时动脉血二氧化碳分压(PaCO2)升高23%。在用膈神经活动触发的呼吸机通气期间,低温导致CCBF下降30%,而PaCO2值无变化。在这些情况下,给予高碳酸混合气呼吸导致CCBF下降9%,PaCO2升高7%。采用经典方法通气时,高温导致CCBF升高42%,PaCO2升高22%。给予高碳酸混合气呼吸使CCBF降低9%,PaCO2升高15%。另一方面,在用膈神经活动触发的呼吸机通气期间,这些参数未观察到变化。这表明热刺激对脑血流量调节产生直接影响,并且在低温期间,它比二氧化碳产生的刺激更为显著。

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