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氟烷镇静和麻醉状态下人体对低氧和高碳酸血症的通气反应。

Ventilatory responses to hypoxia and hypercapnia during halothane sedation and anesthesia in man.

作者信息

Knill R L, Gelb A W

出版信息

Anesthesiology. 1978 Oct;49(4):244-51. doi: 10.1097/00000542-197810000-00004.

Abstract

To elucidate the effects of halothane on chemical regulation of ventilation in man, the authors studied the ventilatory responses to isocapnic hypoxia and hyperoxic hypercapnia in 33 human subjects while fully conscious and during sedation or anesthesia with halothane, .1, 1.1, or 2 MAC. In each group, the ventilatory effect of intravenous administration of doxapram, .4 mg/kg, was also measured. Halothane, 1.1 and 2 MAC, totally abolished the hypoxic response and nearly abolished the response to doxapram, while leaving the response to CO2 relatively brisk. Halothane, .1 MAC, decreased the responses to hypoxia and doxapram to less than a third of control, but did not alter the response to CO2. It is concluded that halothane selectivity impairs two ventilatory responses mediated by peripheral chemoreceptors in man.

摘要

为阐明氟烷对人体通气化学调节的影响,作者研究了33名清醒的人体受试者以及在使用0.1、1.1或2倍最低肺泡有效浓度(MAC)的氟烷进行镇静或麻醉期间,对等碳酸血症性低氧和高氧性高碳酸血症的通气反应。在每组中,还测量了静脉注射多沙普仑(0.4mg/kg)的通气效果。1.1和2倍MAC的氟烷完全消除了低氧反应,几乎消除了对多沙普仑的反应,而对二氧化碳的反应相对活跃。0.1倍MAC的氟烷使低氧和多沙普仑反应降至对照的三分之一以下,但未改变对二氧化碳的反应。结论是,氟烷选择性损害人体外周化学感受器介导的两种通气反应。

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