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清醒小型猪的化学反射性通气驱动

Chemoreflex drive of ventilation in the awake miniature pig.

作者信息

Verbrugghe C, Laurent P, Bouverot P

出版信息

Respir Physiol. 1982 Mar;47(3):379-91. doi: 10.1016/0034-5687(82)90065-2.

Abstract

Awake, resting miniature pigs trained to breathe through a respiratory mask were studied at neutral ambient temperature first intact, then after bilateral chronic carotid body denervation. Resting pulmonary ventilation (V), tidal volume (VT) and ventilatory period (T), and O2 and CO2 partial pressures in the end-tidal gas (PETO2, PETCO2) were measured cycle-by-cycle in steady state at levels of PETO2 ranging from 35 to 300 Torr, and in the course of NaCN injections and transient pure-O2 inhalation)30-sec O2-test). Steady state toxic CO2 ventilatory responses curves were determined. Intact normoxic animals hyperventilated in response to NaCN injections, while carotid denervated ones did not. Intact animals responded to O2-tests with a fall of V accounting for about 40% of the control minute volume in normoxia PETO2 = 95 Torr), and 90% in hypoxia (PETO2 = 50 Torr equivalent to an altitude exposure at 4000 m). Denervated miniature pigs exhibited either no ventilatory changes, or hyperventilated in response to O2-tests. From V vs. PETCO2 relationships, hypercapnia and hypoxia interacted positively before carotid denervation; after denervation, the normoxic curve was shifted towards higher PCO2 values and its slope decreased. It is concluded that in awake miniature pigs the hypoxic chemoreflex drive from the carotid bodies controls about 40% of the resting minute volume near sea level, and 90% in hypoxic conditions equivalent to an altitude exposure to 4000 m. Bilateral carotid body denervation totally suppressed arterial chemosensitivity: there is thus no functional evidence for the existence of aortic chemoreceptors in miniature pigs.

摘要

对经训练通过呼吸面罩呼吸的清醒、静息状态的小型猪进行研究,首先在中性环境温度下保持完整状态,然后进行双侧慢性颈动脉体去神经支配。在呼气末气体中氧气和二氧化碳分压(PETO2、PETCO2)分别为35至300托的水平下,在稳态时逐周期测量静息肺通气量(V)、潮气量(VT)和通气周期(T),以及在注射氰化钠和短暂吸入纯氧(30秒氧气测试)过程中进行测量。确定了稳态毒性二氧化碳通气反应曲线。完整的常氧动物在注射氰化钠后出现过度通气,而去神经支配的动物则没有。完整动物对氧气测试的反应是V下降,在常氧状态下(PETO2 = 95托)下降幅度约占对照分钟通气量的40%,在低氧状态下(PETO2 = 50托,相当于海拔4000米的暴露)下降幅度约占90%。去神经支配的小型猪对氧气测试要么没有通气变化,要么出现过度通气。从V与PETCO2的关系来看,高碳酸血症和低氧血症在颈动脉去神经支配前呈正相互作用;去神经支配后,常氧曲线向更高的PCO2值偏移,其斜率降低。得出的结论是,在清醒的小型猪中,来自颈动脉体的低氧化学反射驱动在海平面附近控制约40%的静息分钟通气量,在相当于海拔4000米暴露的低氧条件下控制90%。双侧颈动脉体去神经支配完全抑制了动脉化学敏感性:因此,没有功能证据表明小型猪存在主动脉化学感受器。

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