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对低水平二氧化碳的通气反应。

Ventilatory response to low levels of CO2.

作者信息

Anthonisen N R, Dhingra S

出版信息

Respir Physiol. 1978 Mar;32(3):335-44. doi: 10.1016/0034-5687(78)90121-4.

Abstract

Ventilation and Pa(CO2), were measured in six subjects after 10-12 min of breathing 1-2% CO2 during hyperoxia and hypoxia. These inspired CO2 concentrations were achieved in two ways: by enriching the inspirate with CO2 and by having the subjects breathe through dead spaces of 100-400 cm3. Breathing through dead space gave the same results as CO2 enrichment of the inspirate when the effect of the dead spaces on mean inspired CO2 was allowed for. During hyperoxia all subjects demonstrated isocapni hyperpnea in response to mean inspired CO2 concentrations of 1%; ventilation increased without change in PA(CO2). When mean inspired CO2 concentration approximated 1.5% two subjects showed isocapnic hyperpnea, and one subject demonstrated isocapnic hyperpnea in response to mean inspired CO2 concentrations of 2%. The increase in PA(CO2) observed in each subject in response to 2% CO2 in O2 correlated negatively with the slope of that subject's rebreathing CO2 response curve. Hypoxia (PA(O2Y = 45-50 mm Hg) depressed the response to 1% CO2 in that, while hypoxic, no subject showed isocapnic hyperpnea in response to 1% CO2. The isocapnic hyperpnea we observed was chiefly due to increased tidal volume, and was therefore not analogous to the isocapnic hyperpnea observed by others in dogs in response to increases of CO2 in lung gas. When low levels of CO2 produced an increase in PA(CO2) the associated change in ventilation (delta Ve/delta PA(CO2)was much less than that observed while rebreathing 7% CO2. Isocapnic hyperpnea in response to low levels of CO2 is common among normal individuals, and is depressed by hypoxia; the stimulus responsible for this response is unknown.

摘要

在6名受试者吸入高氧和低氧混合气并呼吸1% - 2%二氧化碳10 - 12分钟后,测量了通气量和动脉血二氧化碳分压(Pa(CO₂))。这些吸入二氧化碳浓度通过两种方式实现:一是向吸入气体中添加二氧化碳进行富集,二是让受试者通过100 - 400立方厘米的死腔进行呼吸。当考虑死腔对平均吸入二氧化碳的影响时,通过死腔呼吸与吸入气体中二氧化碳富集产生的结果相同。在高氧期间,所有受试者对平均吸入二氧化碳浓度为1%均表现出等碳酸性通气增强;通气量增加而动脉血二氧化碳分压(PA(CO₂))无变化。当平均吸入二氧化碳浓度接近1.5%时,两名受试者表现出等碳酸性通气增强,一名受试者对平均吸入二氧化碳浓度为2%表现出等碳酸性通气增强。每个受试者在吸入2%氧气中二氧化碳时观察到的动脉血二氧化碳分压(PA(CO₂))升高与该受试者重复呼吸二氧化碳反应曲线的斜率呈负相关。低氧(PA(O₂) = 45 - 50 mmHg)抑制了对1%二氧化碳的反应,即在低氧状态下,没有受试者对1%二氧化碳表现出等碳酸性通气增强。我们观察到的等碳酸性通气增强主要是由于潮气量增加,因此与其他人在狗身上观察到的因肺内气体中二氧化碳增加而导致的等碳酸性通气增强不同。当低水平的二氧化碳导致动脉血二氧化碳分压(PA(CO₂))升高时,相关的通气变化(ΔVe/ΔPA(CO₂))远小于重复呼吸7%二氧化碳时观察到的变化。正常个体中常见对低水平二氧化碳的等碳酸性通气增强,且会被低氧抑制;引起这种反应的刺激因素尚不清楚。

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