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犬肺牵张与动脉血二氧化碳分压在调节通气活动中的相互作用。

Interactions between lung stretch and PaCO2 in modulating ventilatory activity in dogs.

作者信息

Mitchell G S, Cross B A, Hiramoto T, Scheid P

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1982 Jul;53(1):185-91. doi: 10.1152/jappl.1982.53.1.185.

Abstract

The effects of changes in airway pressure (Paw) and arterial PCO2 (PaCO2) on ventilatory activity were studied in anesthetized thoracotomized dogs in which both lungs were ventilated separately. Pulmonary artery occlusion on one side and contralateral vagotomy allowed the reflex effects on ventilation of changes in Paw and PaCO2 to be elicited independently of each other. Ventilatory activity was assessed from integrated efferent phrenic activity, analyzed with respect to burst amplitude (Phr), burst frequency (f), and inspiratory TI) and expiratory duration (TE). While Phr increased linearly with PaCO2, it was independent of Paw. Both PaCO2 and Paw affected f in a complex nonadditive way; this response was entirely mediated by effects on TE, TI being unaffected by either stimulus. The analog of ventilation, estimated as Phr x f, increased linearly with PaCO2 and decreased linearly with Paw, but the effects of both stimuli appeared to be additive. It is concluded that the apparently simple effect of Paw and PaCO2 on ventilation results from more complex effects these stimuli exert on its components.

摘要

在麻醉开胸犬中,研究气道压力(Paw)和动脉血二氧化碳分压(PaCO2)变化对通气活动的影响,实验中双侧肺分别进行通气。一侧肺动脉闭塞和对侧迷走神经切断术使得Paw和PaCO2变化对通气的反射效应能够彼此独立引发。通过整合传出膈神经活动评估通气活动,分析其爆发幅度(Phr)、爆发频率(f)、吸气持续时间(TI)和呼气持续时间(TE)。虽然Phr随PaCO2呈线性增加,但它与Paw无关。PaCO2和Paw均以复杂的非相加方式影响f;这种反应完全由对TE的影响介导,TI不受任何一种刺激的影响。以Phr×f估算的通气类似物随PaCO2呈线性增加,随Paw呈线性降低,但两种刺激的效应似乎是相加的。结论是,Paw和PaCO2对通气的明显简单效应是这些刺激对其组成部分施加的更复杂效应的结果。

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