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麻醉犬在一氧化碳性低氧血症期间的全身及后肢心血管反应。

Whole body and hindlimb cardiovascular responses of the anesthetized dog during CO hypoxia.

作者信息

King C E, Cain S M, Chapler C K

出版信息

Can J Physiol Pharmacol. 1984 Jul;62(7):769-74. doi: 10.1139/y84-126.

Abstract

To compare with earlier studies of anemic hypoxia obtained by hemodilution, O2 carring capacity was decreased by carbon monoxide (CO) hypoxia. Arterial O2 content was reduced either 50% (moderate CO) or 65% (severe CO). In two groups of anesthetized dogs (moderate and severe CO) hindlimb innervation remained intact while in a third group (moderate CO) the hindlimb was denervated. Measurements were obtained prior to and at 30 and 60 min of CO hypoxia. Cardiac output was elevated at 30 min of CO hypoxia in all groups (p less than 0.01) and in the severe CO group at 60 min (p less than 0.01). Hindlimb blood flow remained unchanged during CO hypoxia in the intact groups. In the denervated group, hindlimb blood flow was greater (p less than 0.05) than that in the intact groups throughout the experiment. A decrease in mean arterial pressure (p less than 0.01) in all groups was associated with a fall in total resistance (p less than 0.01). Hindlimb resistance remained unchanged during moderate CO hypoxia in the intact group but increased (p less than 0.05) in the denervated group. In the severe CO group hindlimb resistance was decreased (p less than 0.05) at 60 min. The results indicate that the increase in cardiac output during CO hypoxia was directed to nonmuscle areas of the body and that intact sympathetic innervation was required to achieve this redistribution.

摘要

为了与早期通过血液稀释获得的贫血性缺氧研究进行比较,一氧化碳(CO)缺氧会降低氧气携带能力。动脉血氧含量降低了50%(中度CO)或65%(重度CO)。在两组麻醉犬(中度和重度CO)中,后肢神经支配保持完整,而在第三组(中度CO)中,后肢去神经支配。在CO缺氧前以及缺氧30分钟和60分钟时进行测量。所有组在CO缺氧30分钟时心输出量均升高(p<0.01),重度CO组在60分钟时心输出量也升高(p<0.01)。在完整组中,CO缺氧期间后肢血流量保持不变。在去神经支配组中,整个实验过程中后肢血流量均高于完整组(p<0.05)。所有组平均动脉压降低(p<0.01)与总阻力下降(p<0.01)相关。在完整组中,中度CO缺氧期间后肢阻力保持不变,但在去神经支配组中阻力增加(p<0.05)。在重度CO组中,60分钟时后肢阻力降低(p<0.05)。结果表明,CO缺氧期间心输出量的增加是针对身体的非肌肉区域,并且需要完整的交感神经支配来实现这种重新分布。

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