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犊牛肺炎型巴氏杆菌病发病机制中冷应激与溶血巴氏杆菌的相互作用:肺功能变化

Interactions of cold stress and Pasteurella haemolytica in the pathogenesis of pneumonic pasteurellosis in calves: changes in pulmonary function.

作者信息

Slocombe R F, Derksen F J, Robinson N E

出版信息

Am J Vet Res. 1984 Sep;45(9):1764-70.

PMID:6497134
Abstract

Thirteen healthy neonatal Holstein calves were cold stressed twice by hosing with cold water for 20 minutes, 12 hours between hosings. Measurements of the pattern of ventilation [tidal volume (VT), respiratory frequency (f), minute ventilation (VMIN), and functional residual capacity (FRC)], gas exchange properties of the lungs [alveolar ventilation (VA), oxygen uptake (VO2), CO2 production (VCO2), dead space ventilation (VD), dead space/tidal volume ratio (VD/VT), arterial oxygen tension (PaO2), arterial CO2 tension (PaCO2) and alveolar-arterial oxygen difference (AaDO2)] and of the mechanical properties of the pulmonary system [dynamic compliance (Cdyn), pulmonary resistance (RL), and total respiratory system resistance (RRS)] were taken. Calves responded to chilling by increasing VO2 and VCO2 necessitating an increase in VA. This was accomplished by increasing VT with reciprocal decreases in f so that VMIN remained constant. There was no change in Cdyn, RL, or AaDO2. Seven of these 13 calves were then exposed to intratracheal inoculation of 2 X 10(9) organisms of Pasteurella haemolytica, the remaining calves serving as controls. Within 1 hour, calves exposed to P haemolytica had increased VMIN, f, VD/VT, and VD. There was a decrease in PaO2 associated with increased AaDO2, but no change in PaCO2, Cdyn or RL. By 3 hours after inoculation, there were pronounced changes in PaO2 and AaDO2, and Cdyn was reduced below base-line values. By 12 hours after inoculation, calves infected with P haemolytica had increased RL and RRS and PaCO2, in addition to the previously mentioned changes. Data from Pasteurella-exposed calves indicate that gas exchange impairment and peripheral lung injury occur rapidly and that increases in airway resistance develop relatively late in the disease.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

13头健康的新生荷斯坦犊牛通过用冷水喷淋20分钟进行了两次冷应激处理,两次喷淋之间间隔12小时。测量了通气模式(潮气量(VT)、呼吸频率(f)、分钟通气量(VMIN)和功能残气量(FRC))、肺的气体交换特性(肺泡通气量(VA)、氧摄取量(VO2)、二氧化碳产生量(VCO2)、死腔通气量(VD)、死腔/潮气量比值(VD/VT)、动脉血氧张力(PaO2)、动脉血二氧化碳张力(PaCO2)和肺泡-动脉氧分压差(AaDO2))以及肺系统的力学特性(动态顺应性(Cdyn)、肺阻力(RL)和总呼吸系统阻力(RRS))。犊牛通过增加VO2和VCO2对寒冷做出反应,这需要增加VA。这是通过增加VT并相应降低f来实现的,从而使VMIN保持恒定。Cdyn、RL或AaDO2没有变化。然后,这13头犊牛中的7头接受了气管内接种2×10⁹溶血性巴氏杆菌菌液,其余犊牛作为对照。在1小时内,暴露于溶血性巴氏杆菌的犊牛的VMIN、f、VD/VT和VD增加。PaO2降低,AaDO2增加,但PaCO2、Cdyn或RL没有变化。接种后3小时,PaO2和AaDO2有明显变化,Cdyn降至基线值以下。接种后12小时,感染溶血性巴氏杆菌的犊牛除了上述变化外,RL、RRS和PaCO2增加。来自暴露于巴氏杆菌的犊牛的数据表明,气体交换受损和外周肺损伤迅速发生,气道阻力增加在疾病后期相对较晚出现。(摘要截短至250字)

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