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哺乳负鼠的阻塞性呼吸暂停。

An obstructive apnea in the suckling opossum.

作者信息

Farber J P, Marlow T A

出版信息

Respir Physiol. 1978 Sep;34(3):295-305. doi: 10.1016/0034-5687(78)90129-9.

Abstract

Pressure plethysmographic measurement of ventilation and electromyographic measurement of diaphragm activation in unanesthetized suckling opossums revealed spontaneous episodes of obstructive apnea. To better understand this phenomenon, intact animals were tested under different conditions of respiratory drive and during activation of pulmonary reflexes. Results showed that obstructed breaths were usually initiated with the lungs at or near the end-inspiratory level, and they occurred more frequently during air or oxygen breathing as compared with inhalation of hypercapnic or asphyxiant test gases. The latter two gas mixtures caused increases in ventilation; but depression of breathing resulting from pentobarbital anesthesia was not accompanied by obstructed breaths. It was initially considered that a reflex laryngeal response with changes in lung volume or lung irritation might trigger obstructive apnea; but pulmonary inflation and deflation as well as ammonia inhalation did not typically produce such an effect. The results indicate that mechanisms for obstructive apnea in the suckling opossum must account for the limited incidence of obstructed breaths during both ventilatory chemostimulation and anesthetic respiratory depression.

摘要

对未麻醉的乳鼠负鼠进行通气的压力体积描记测量和膈肌激活的肌电图测量,发现了阻塞性呼吸暂停的自发发作。为了更好地理解这一现象,对完整的动物在不同的呼吸驱动条件下以及肺反射激活期间进行了测试。结果表明,阻塞性呼吸通常在肺处于或接近吸气末水平时开始,与吸入高碳酸血症或窒息性测试气体相比,在空气或氧气呼吸期间更频繁地发生。后两种气体混合物导致通气增加;但戊巴比妥麻醉引起的呼吸抑制并未伴有阻塞性呼吸。最初认为,随着肺容积变化或肺刺激而产生的反射性喉部反应可能引发阻塞性呼吸暂停;但肺充气和放气以及吸入氨气通常不会产生这种效果。结果表明,乳鼠负鼠阻塞性呼吸暂停的机制必须解释通气化学刺激和麻醉性呼吸抑制期间阻塞性呼吸的有限发生率。

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