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代谢性碱中毒对猫主动脉化学感受器反应的抑制作用。

Inhibition of aortic chemoreceptor responses by metabolic alkalosis in the cat.

作者信息

Pokorski M, Lahiri S

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1982 Jul;53(1):75-80. doi: 10.1152/jappl.1982.53.1.75.

Abstract

The responses of the same aortic chemoreceptor afferents to steady-state isocapnic hypoxia and to hypercapnia on hyperoxia, before and after the induction of metabolic alkalosis, were investigated in 12 anesthetized cats. Metabolic alkalosis was achieved by intravenous administration of sodium bicarbonate in the average dose of 7 mmol . kg-1. On the average, arterial pH (pHa) increased from 7.383 to 7.650 at an arterial CO2 partial pressure (PaCO2) of 30 Torr. The increase in pHa resulted in a decrease in chemoreceptor activity, the effect being greater at a lower arterial O2 partial pressure. Increases in PaCO2 during hyperoxia resulted in an increased activity of the chemoreceptors both before and after NaHCO3 injection. The stimulatory effect of hypercapnia, however, was attenuated by metabolic alkalosis. At a constant PaCO2, decreases in arterial [H+] by the NaHCO3 administration caused an approximately linear decrease in the chemoreceptor activity. At a constant arterial [H+], higher PaCO2 was associated with a slightly greater activity of the chemoreceptors. These results indicate that the major effect of CO2 is mediated by [H+], but there appears to be another mechanism, albeit small, for the effect of CO2.

摘要

在12只麻醉猫中,研究了在代谢性碱中毒诱导前后,同一主动脉化学感受器传入神经对稳态等碳酸血症性低氧和高氧时高碳酸血症的反应。通过静脉注射平均剂量为7 mmol·kg-1的碳酸氢钠来实现代谢性碱中毒。平均而言,在动脉二氧化碳分压(PaCO2)为30 Torr时,动脉pH(pHa)从7.383升高到7.650。pHa的升高导致化学感受器活性降低,在较低的动脉氧分压下这种影响更大。高氧期间PaCO2的升高导致在注射NaHCO3之前和之后化学感受器的活性均增加。然而,代谢性碱中毒减弱了高碳酸血症的刺激作用。在恒定的PaCO2下,通过给予NaHCO3使动脉[H+]降低导致化学感受器活性大致呈线性下降。在恒定的动脉[H+]下,较高的PaCO2与化学感受器的活性略高有关。这些结果表明,CO2的主要作用是由[H+]介导的,但似乎存在另一种机制,尽管作用较小,也参与了CO2的作用。

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