Kerem D, Melamed Y, Moran A
Undersea Biomed Res. 1980 Mar;7(1):17-26.
The extent of hypercapnia in oxygen-breathing subjects was investigated during rest and exercise (650 kpm/min). Divers, ex-divers, and non-divers were studied. Carbon dioxide retention was judged by end-tidal Pco2 values achieved after a few minutes at each state. End-breath-hold (EBH) PAco2 was also measured in the two states to assess the contribution of breathing pattern to CO2 retention. Findings indicated a pronounced hypoventilation and hypercapnia in the divers during exercise, and a mean exercise EBH PAco2 value 15 mmHg greater than that in non-divers. Ex-divers had group mean values not significantly different from those of active divers. Superimposed inspired CO2 load caused similar elevations in PAco2 values in divers and non-divers. We concluded that CO2 retention in exercising oxygen-breathing divers cannot be accounted for solely as a conditioned breathing behavior, may be due partly to a reduced central responsiveness of CO2, and is not dependent on current diving activity.
在静息和运动状态(650次/分钟)下,对吸氧受试者的高碳酸血症程度进行了研究。研究对象包括潜水员、曾经的潜水员和非潜水员。通过在每个状态下几分钟后测得的呼气末二氧化碳分压值来判断二氧化碳潴留情况。还在这两种状态下测量了屏气末肺泡二氧化碳分压(EBH PAco2),以评估呼吸模式对二氧化碳潴留的影响。研究结果表明,潜水员在运动时出现明显的通气不足和高碳酸血症,运动时的平均屏气末肺泡二氧化碳分压值比非潜水员高15 mmHg。曾经的潜水员组的平均值与现役潜水员的平均值无显著差异。吸入二氧化碳负荷叠加后,潜水员和非潜水员的肺泡二氧化碳分压值升高幅度相似。我们得出结论,吸氧潜水员在运动时的二氧化碳潴留不能仅归因于条件性呼吸行为,可能部分是由于二氧化碳的中枢反应性降低,且不依赖于当前的潜水活动。