Sanotskaia N V, Matsievskiĭ D D, Aleĭnikov S O
Biull Eksp Biol Med. 1993 Jun;115(6):579-83.
The linear and volumetric blood flow velocity in left low-lobar pulmonary artery and vein, the balance between cardiac output of right and left ventricles, as well as the blood pressure in pulmonary and femoral arteries, respiratory movements of the chest in hypoxic (3-5% O2 in nitrogen) and circulatory (acute hemorrhage) hypoxia were studied by ultrasonic method in acute experiments in cats under nembutal narcosis. It was shown that under the influence of severe hypoxic hypoxia the blood pressure in the pulmonary artery and the pulmonary vascular resistance increased; in the majority of the experiments, respiratory standstill without transitional stages occurred within 3 to 20 minutes. In circulatory hypoxia, the development of respiratory disorders was gradual with the appearance of pathological types of respiration such as apneusis and gasping occurring with a drop of systemic blood pressure to 30-40 mmHg, lowered pulmonary AP and 3-10-fold increased pulmonary vascular resistance. In hypoxic hypoxia the cardiac output changed insignificantly, without changes in the balance between cardiac output of the right and left ventricles. Only in the general circulation was observed. In circulatory hypoxia with decreased cardiac output redistribution of the blood to the general circulation occurred from the very beginning of the hemorrhage. Reinfusion of the autoblood restored the balance between the cardiac output of the right and left ventricles. The index of the capillary perfusion in the lungs decreased in parallel with a decrease of the pulmonary blood pressure. The index of capillary perfusion in hemorrhage decreased in parallel with a decrease of the pulmonary AP.
在戊巴比妥麻醉下,采用超声法对猫进行急性实验,研究了左肺下叶肺动脉和肺静脉的线性及容积血流速度、左右心室心输出量的平衡以及肺动脉和股动脉血压,观察了低氧(氮气中含3 - 5%氧气)和循环性(急性出血)低氧状态下胸部的呼吸运动。结果表明,在严重低氧性低氧的影响下,肺动脉血压和肺血管阻力升高;在大多数实验中,3至20分钟内出现无过渡阶段的呼吸停止。在循环性低氧时,呼吸障碍逐渐发展,出现病理性呼吸类型,如呼吸暂停和喘息,此时全身血压降至30 - 40 mmHg,肺动脉压降低,肺血管阻力增加3至10倍。在低氧性低氧时,心输出量变化不显著,左右心室心输出量的平衡无变化。仅在体循环中观察到。在循环性低氧且心输出量减少时,出血一开始就出现血液从肺循环重新分布到体循环的情况。自体血回输恢复了左右心室心输出量的平衡。肺毛细血管灌注指数随肺血压下降而平行降低。出血时肺毛细血管灌注指数随肺动脉压下降而平行降低。