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对二氧化碳的通气反应和呼吸暂停阈值。

Ventilatory response to carbon dioxide and apnoeic thresholds.

作者信息

De Goede J, Berkenbosch A, Olievier C N, Quanjer P H

出版信息

Respir Physiol. 1981 Aug;45(2):185-99. doi: 10.1016/0034-5687(81)90059-1.

Abstract

In 11 cats anaesthetized with chloralose-urethane, the steady state ventilation during hyperoxia was measured as a function of the central PaCO2 (PacCO2) and peripheral PaCO2 (PapCO2) using the technique of artificial ponto-medullary perfusion. The ventilatory response was described by VE = Sc . PacCO2 + Sp . PapCO2 - K where Sc and Sp represent the overall central and peripheral sensitivity to carbon dioxide. The post-hyperventilation apnoeic threshold values of PapCO2 for several fixed values of PacCO2 were also assessed. It was found that down to PaCCO2's and PapCO2's of about 3.5 kPa (26 mm Hg) the response surface for spontaneous ventilation could be used to satisfactorily predict the PapCO2 as a function of PacCO2 at apnoea. In 4 cats the ventilatory response to changes in central PCO2 was measured after carotid body denervation. These response curves were linear down to the PCO2-axis. We conclude that in anaesthetized cats during hyperoxia: (1) the above equation for the ventilation appears to be valid down to CO2 tensions of about 3.5 kPa (26 mm Hg); (2) the peripheral and central chemoreceptors exhibit neural activity down to at least 2.0 kPa (15 mm Hg); (3) in non-artificially perfused cats the CO2 response curve is linear down to ventilation zero; (4) the PaCO2 at apnoea (apnoeic 'threshold') in non-artificially perfused cats does not constitute a neural threshold for the peripheral or for the central chemoreceptors. Using these results a respiratory controller equation is proposed and some possible implications for the neural organization of the respiratory controller are discussed.

摘要

在11只用氯醛糖-乌拉坦麻醉的猫身上,采用人工脑桥-延髓灌注技术,测量了高氧期间的稳态通气量与中心动脉血二氧化碳分压(PacCO2)和外周动脉血二氧化碳分压(PapCO2)的关系。通气反应可用VE = Sc·PacCO2 + Sp·PapCO2 - K来描述,其中Sc和Sp分别代表对二氧化碳的总体中心和外周敏感性。还评估了在几个固定PacCO2值下,过度通气后PapCO2的呼吸暂停阈值。结果发现,在PaCCO2和PapCO2约为3.5 kPa(26 mmHg)时,自主通气的反应面可用于令人满意地预测呼吸暂停时PapCO2随PacCO2的变化。在4只猫身上,测量了颈动脉体去神经后对中心PCO2变化的通气反应。这些反应曲线在PCO2轴以下呈线性。我们得出结论,在高氧期间麻醉的猫中:(1)上述通气方程在二氧化碳张力约为3.5 kPa(26 mmHg)时似乎是有效的;(2)外周和中枢化学感受器至少在2.0 kPa(15 mmHg)时仍表现出神经活动;(3)在非人工灌注的猫中,CO2反应曲线在通气量为零时呈线性;(4)非人工灌注猫的呼吸暂停时的PaCO2(呼吸暂停“阈值”)对外周或中枢化学感受器来说并不构成神经阈值。利用这些结果,提出了一个呼吸控制方程,并讨论了对呼吸控制神经组织的一些可能影响。

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