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颈动脉化学感受器在对静脉血二氧化碳负荷变化的通气反应中的作用。

Carotid chemoreceptors in ventilatory responses to changes in venous CO2 load.

作者信息

Phillipson E A, Bowes G, Townsend E R, Duffin J, Cooper J D

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1981 Dec;51(6):1398-403. doi: 10.1152/jappl.1981.51.6.1398.

Abstract

We examined the role of the carotid chemoreceptors in the ventilatory response to changes in venous CO2 load in 12 awake sheep using a venovenous extracorporeal perfusion circuit and two carbon dioxide membrane lungs (CDML). Three of the sheep had undergone surgical denervation of the carotid bodies (CBD). In the nine intact sheep, as CO2 was removed from or added to the peripheral venous blood through the CDML under normoxic conditions, there was a linear relationship between the rate of pulmonary CO2 excretion (VCO2) and the resulting rate of ventilation over a VCO2 range of 0--800% of control, so that arterial PCO2 remained close to isocapnic. In contrast, in the three CBD sheep, the ventilatory response to changes in VCO2 was significantly decreased under normoxic conditions, resulting in marked hypercapnia. The results indicate that the carotid chemoreceptors exert a major influence on the ventilatory response to changes in venous CO2 load.

摘要

我们使用静脉-静脉体外灌注回路和两个二氧化碳膜肺(CDML),研究了12只清醒绵羊的颈动脉化学感受器在对静脉血二氧化碳负荷变化的通气反应中的作用。其中三只绵羊接受了颈动脉体(CBD)的手术去神经支配。在九只完整的绵羊中,在常氧条件下通过CDML从外周静脉血中移除或添加二氧化碳时,在肺二氧化碳排出率(VCO2)为对照值的0--800%的范围内,肺二氧化碳排出率(VCO2)与由此产生的通气率之间存在线性关系,因此动脉血PCO2保持接近等碳酸状态。相比之下,在三只去神经支配的绵羊中,在常氧条件下对VCO2变化的通气反应明显降低,导致明显的高碳酸血症。结果表明,颈动脉化学感受器对静脉血二氧化碳负荷变化的通气反应有重大影响。

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