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高碳酸血症对未麻醉胎羊气管压力、膈肌和肋间肌肌电图的影响。

Effects of hypercapnia on tracheal pressure, diaphragm and intercostal electromyograms in unanaesthetized fetal lambs.

作者信息

Dawes G S, Gardner W N, Johnston B M, Walker D W

出版信息

J Physiol. 1982 May;326:461-74. doi: 10.1113/jphysiol.1982.sp014206.

Abstract
  1. The electromyographic (e.m.g.) activity of the diaphragm and intercostal muscles has been recorded during breathing movements of unanaesthetized lambs in utero (109-135 days), and compared with the changes of tracheal pressure.2. The diaphragm e.m.g. was irregular in size, shape and timing, with a variable rate of rise during inspiration, often with a flattening of integrated activity before the end of a breath and with little or no post-inspiratory activity.3. The diaphragm e.m.g. gave the most reliable measurements of breath interval and incidence: in eucapnia mean T(I) was 0.45+/-0.02 (S.E. of mean) and T(E) was 0.74+/-0.05 sec, and 58-100% of the diaphragm bursts were associated with identifiable and appropriate changes of tracheal pressure.4. During fetal hypercapnia, produced by increasing the maternal inspired CO(2) in a single change or series of step changes, tracheal pressure amplitude and its rate of change during inspiration increased progressively over the P(a, CO2) range of 37-87 mmHg.5. In eucapnia the area, amplitude and inspiratory slope of the integrated diaphragm e.m.g. were not always correlated with tracheal pressure amplitude, and in hypercapnia they increased only in the lower part of the P(a, CO2) range. Inspiratory intercostal activity increased progressively as the P(a, CO2) was raised.6. The frequency histograms of variables derived from the tracheal pressure, diaphragm and intercostal e.m.g.s were skewed to the left in eucapnia but became normalized during hypercapnia. The rate and depth of breathing became regular.7. The response to mild asphyxia was a combination of the responses to hypercapnia and hypoxia.8. The interpretation of the tracheal pressure and diaphragm e.m.g. as measures of the ;depth' of breathing and respiratory ;drive' in the fetal lamb is discussed.
摘要
  1. 已记录了未麻醉的子宫内羔羊(109 - 135天)呼吸运动期间膈肌和肋间肌的肌电图(e.m.g.)活动,并与气管压力变化进行了比较。

  2. 膈肌e.m.g.在大小、形状和时间上不规则,吸气时上升速率可变,在一次呼吸结束前积分活动常变平,吸气后活动很少或没有。

  3. 膈肌e.m.g.给出了最可靠的呼吸间隔和发生率测量值:在正常碳酸血症时,平均吸气时间(T(I))为0.45±0.02(平均值的标准误),呼气时间(T(E))为0.74±0.05秒,58 - 100%的膈肌爆发与可识别的、适当的气管压力变化相关。

  4. 在胎儿高碳酸血症期间,通过单次改变或一系列逐步改变增加母体吸入的二氧化碳,在37 - 87 mmHg的动脉血二氧化碳分压(P(a, CO2))范围内,气管压力幅度及其吸气时的变化速率逐渐增加。

  5. 在正常碳酸血症时,积分膈肌e.m.g.的面积、幅度和吸气斜率并不总是与气管压力幅度相关,在高碳酸血症时,它们仅在P(a, CO2)范围的较低部分增加。随着P(a, CO2)升高,吸气肋间活动逐渐增加。

  6. 由气管压力、膈肌和肋间肌e.m.g.得出的变量频率直方图在正常碳酸血症时向左偏斜,但在高碳酸血症时变得正常。呼吸速率和深度变得规律。

  7. 对轻度窒息的反应是对高碳酸血症和低氧血症反应的组合。

  8. 讨论了将气管压力和膈肌e.m.g.解释为胎儿羔羊呼吸“深度”和呼吸“驱动力”测量指标的问题。

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Relationship between electrical activity of the diaphragm and ventilation.膈肌电活动与通气之间的关系。
Proc Soc Exp Biol Med. 1962 Aug-Sep;110:792-4. doi: 10.3181/00379727-110-27652.
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Chest wall movements during fetal breathing in the sheep.绵羊胎儿呼吸时的胸壁运动。
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