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猫在高海拔地区的低氧通气反应:对“钝化”的一种解读。

Hypoxic ventilatory response of cats at high altitude: an interpretation of 'blunting'.

作者信息

Tenney S M, Ou L C

出版信息

Respir Physiol. 1977 Jun;30(1-2):185-99. doi: 10.1016/0034-5687(77)90030-5.

DOI:10.1016/0034-5687(77)90030-5
PMID:877446
Abstract

Cats acclimatized to a simulated altitude of 5500 m developed attenuated ventilatory response in the hypoxic test range of PAO2 = 60-45 torr, but their CO2 response remained normal, although the curve was shifted to a lower PACO2 range. The acclimatized cats a high respiratory frequency and maintained hyperventilation under normoxia. Cats from 3100 m altitude had hypoxic reponses which were, on the average, slightly below sea level standards, but the difference was not statistically significant. Two cats raised at 4640 m had a normal hypoxic ventilatory response even though the frequency response was 'blunted'. These data suggest the possibility of hypoxic 'threshold' near 5500 m to produce an attenuation effect. Another series of cats acclimatized to 5500 m were tested with more severe hypoxia, and they exhibited brisk ventilatory response in range PAO2, 40-25 torr, although they showed typical 'blunting' in the range PAO2, 60-45 torr. These results suggested that the phenomenon of attenuated hypoxic response at high altitude was a reflection of shift of hypoxic set point to a lower PAO2. Finally, it was shown that the hypoxic responses of 'blunted' animals were restored to normal after mid-collicular decerebration; and that decortication resulted in a typical hyperexcitability of the hypoxic response. These results are discussed in terms of hypothesized suprapontine modulating influences on the control of breathing, and possiblities for a contribution of these mechanisms in pathogenesis of hypoxic 'blunting' are raised.

摘要

适应了模拟海拔5500米高度的猫,在动脉血氧分压(PAO2)为60 - 45托的低氧测试范围内,通气反应减弱,但它们对二氧化碳的反应仍保持正常,尽管曲线移向了较低的动脉血二氧化碳分压(PACO2)范围。适应后的猫呼吸频率较高,在常氧状态下维持过度通气。来自海拔3100米的猫的低氧反应平均略低于海平面标准,但差异无统计学意义。两只在4640米高度饲养的猫,即使频率反应“迟钝”,其低氧通气反应仍正常。这些数据表明在5500米左右可能存在低氧“阈值”,从而产生减弱效应。另一组适应了5500米高度的猫接受了更严重的低氧测试,它们在PAO2为40 - 25托的范围内表现出活跃的通气反应,尽管在PAO2为60 - 45托的范围内表现出典型的“迟钝”。这些结果表明,高海拔地区低氧反应减弱的现象是低氧设定点向较低PAO2转移的反映。最后,研究表明,“迟钝”动物的低氧反应在中脑丘间去大脑后恢复正常;而剥除皮质会导致低氧反应典型的过度兴奋。本文根据对呼吸控制的假设性脑桥上调节影响对这些结果进行了讨论,并提出了这些机制在低氧“迟钝”发病机制中发挥作用的可能性。

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