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代谢率对低氧期间通气量下降的影响。

Effect of metabolic rate on ventilatory roll-off during hypoxia.

作者信息

Gershan W M, Forster H V, Lowry T F, Korducki M J, Forster A L, Forster M A, Ohtake P J, Aaron E A, Garber A K

机构信息

Department of Pediatrics, Medical College of Wisconsin, Milwaukee 53226.

出版信息

J Appl Physiol (1985). 1994 Jun;76(6):2310-4. doi: 10.1152/jappl.1994.76.6.2310.

Abstract

This study was done to determine 1) whether goats demonstrate the roll-off phenomenon, i.e., a secondary decrease in minute ventilation (VE), after an initial hyperventilation during various levels of hypoxia and, if so, 2) whether roll-off could be due to changes in metabolic rate. We hypothesized that roll-off occurs in the goat during hypoxia but is not due to hypometabolism. To answer question 1, eight unanesthetized adult goats were exposed to 15-20 min of hypoxia at 0.15, 0.12, and 0.09 inspired O2 fraction (FIO2), resulting in 60, 40, and 30 Torr arterial PO2, respectively. Goats were fitted with a face mask connected to a spirometer to measure VE, and arterial blood gas samples were obtained via carotid arterial catheters. Roll-off was seen with 0.15 and 0.12 FIO2, whereas VE steadily increased with 0.09 FIO2. During hypoxia, arterial PCO2 fell 2, 3, and 7 Torr at 0.15, 0.12, and 0.09 FIO2, respectively. In the second series of experiments, nine different goats were exposed to 30 min of 0.12 FIO2. O2 consumption and CO2 production were measured five times during baseline and hypoxia. VE increased to 32% above baseline values after 2 min of hypoxia and then gradually decreased by 18%. Changes in breathing frequency and tidal volume contributed to the roll-off. O2 consumption decreased (P = 0.0029, analysis of variance) and CO2 production increased (P = 0.0027) during hypoxia, although both changes were small (< 7%) compared with the eventual 18% decrease in VE. We conclude that the adult goat demonstrates the roll-off phenomenon during moderate levels of hypoxia. (ABSTRACT TRUNCATED AT 250 WORDS)

摘要

本研究旨在确定

1)山羊在不同程度的低氧血症初始过度通气后是否会出现通气量衰减现象,即分钟通气量(VE)的二次下降;如果会出现,2)通气量衰减是否可能归因于代谢率的变化。我们假设山羊在低氧血症期间会出现通气量衰减,但并非由于代谢率降低所致。为回答问题1,八只未麻醉的成年山羊分别在吸入氧分数(FIO2)为0.15、0.12和0.09的情况下暴露于低氧环境15 - 20分钟,动脉血氧分压(PO2)分别为60、40和30 Torr。给山羊佩戴连接到肺活量计的面罩以测量VE,并通过颈动脉导管采集动脉血气样本。在FIO2为0.15和0.12时观察到通气量衰减,而在FIO2为0.09时VE持续增加。在低氧血症期间,动脉血二氧化碳分压(PCO2)在FIO2为0.15、0.12和0.09时分别下降2、3和7 Torr。在第二系列实验中,九只不同的山羊暴露于FIO2为0.12的环境30分钟。在基线期和低氧血症期间五次测量氧气消耗量和二氧化碳产生量。低氧血症2分钟后VE增加至比基线值高32%,然后逐渐下降18%。呼吸频率和潮气量的变化导致了通气量衰减。低氧血症期间氧气消耗量下降(方差分析,P = 0.0029),二氧化碳产生量增加(P = 0.0027),尽管与最终VE下降18%相比,这两种变化都很小(< 7%)。我们得出结论,成年山羊在中度低氧血症期间会出现通气量衰减现象。(摘要截断于250字)

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