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呼吸性和(等碳酸血症性)代谢性动脉酸碱紊乱对猫延髓细胞外液pH值和通气的影响。

Effects of respiratory and (isocapnic) metabolic arterial acid-base disturbances on medullary extracellular fluid pH and ventilation in cats.

作者信息

Teppema L J, Barts P W, Folgering H T, Evers J A

出版信息

Respir Physiol. 1983 Sep;53(3):379-95. doi: 10.1016/0034-5687(83)90127-5.

Abstract

Ventilation is influenced by the brain extracellular fluid (ecf) pH which is sensed by the central chemoreceptors. In the present experiments we have investigated to what extent ventilatory effects of brain ecf pH changes depend on the origin of these pH changes. With this aim we have compared the effects of 'respiratory' (via changes in PaCO2) and 'metabolic' (via isocapnic pHa changes) ecf pH changes on steady state ventilatory activity. Experiments were performed in anaesthetized (both artificially ventilated and spontaneously breathing) cats with cut sinus nerves; medullary surface ecf pH was measured with a glass electrode with a flat pH-sensitive surface. We found that ecf pH changes caused by changes in PaCO2 give rise to greater ventilatory responses than the same ecf pH changes caused by (isocapnic) changes in pHa. Moreover, within the pH ranges measured, isocapnic pHecf-ventilatory response lines at higher PaCO2 are shifted upwards compared with those at lower PaCO2 levels. It was concluded that with the present technique it is impossible to show a unique relation between ecf pH and ventilation.

摘要

通气受中枢化学感受器所感知的脑细胞外液(ECF)pH值的影响。在本实验中,我们研究了脑ECF pH值变化的通气效应在多大程度上取决于这些pH值变化的来源。为此,我们比较了“呼吸性”(通过PaCO2变化)和“代谢性”(通过等碳酸血症时动脉血pH值变化)的ECF pH值变化对稳态通气活动的影响。实验在切断窦神经的麻醉猫(包括人工通气和自主呼吸)身上进行;用具有平坦pH敏感表面的玻璃电极测量延髓表面ECF的pH值。我们发现,由PaCO2变化引起的ECF pH值变化比由pHa(等碳酸血症时)变化引起的相同ECF pH值变化产生更大的通气反应。此外,在所测量的pH范围内,与较低PaCO2水平时相比,较高PaCO2时的等碳酸血症pHecf - 通气反应线向上偏移。得出的结论是,用目前的技术不可能显示ECF pH值与通气之间的唯一关系。

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