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肺膨胀对新生儿呼吸频率控制的影响。

The effect of lung inflation on the control of respiratory frequency in the neonate.

作者信息

Boychuk R B, Rigatto H, Seshia M M

出版信息

J Physiol. 1977 Sep;270(3):653-60. doi: 10.1113/jphysiol.1977.sp011973.

Abstract
  1. We have measured the relationship between tidal volume (V(T)) and the duration of inspiration (T(i)) and expiration (T(e)) for individual breaths (30 in each steady state).2. Ten pre-term and ten term infants were studied during steady state while breathing 21% O(2), then 21% O(2) plus 2 and 4% CO(2).3. In all infants, the average T(i) at the various chemical drives was remarkably constant, and did not decrease as the tidal volume increased. However, at any given level of respiratory drive, there was a slightly positive correlation of V(T) with T(i) and T(e) in 95% of the cases.4. In four pre-term and two term infants, T(e) increased with increasing respiratory drive. In these infants, therefore, instantaneous respiratory frequency (1/(T(i) + T(e))) actually decreased as lung volume increased.5. We suggest that T(i) is independent of V(T) within the range of volumes studied (up to 2 times the resting V(T)) and that changes in instantaneous respiratory frequency (1/(T(i) + T(e))) result from changes in T(e).
摘要
  1. 我们测量了单次呼吸(每个稳定状态下30次)的潮气量(V(T))与吸气时间(T(i))和呼气时间(T(e))之间的关系。

  2. 对10名早产儿和10名足月儿在稳定状态下进行研究,他们先后呼吸21% O₂,然后是21% O₂加2%和4% CO₂。

  3. 在所有婴儿中,在不同化学驱动下的平均T(i)非常恒定,且不会随着潮气量增加而减少。然而,在任何给定的呼吸驱动水平下,95%的情况下V(T)与T(i)和T(e)存在轻微的正相关。

  4. 在4名早产儿和2名足月儿中,T(e)随着呼吸驱动增加而增加。因此,在这些婴儿中,随着肺容量增加,瞬时呼吸频率(1/(T(i) + T(e)))实际上会降低。

  5. 我们认为在所研究的容量范围内(高达静息V(T)的2倍),T(i)与V(T)无关,且瞬时呼吸频率(1/(T(i) + T(e)))的变化是由T(e)的变化引起的。

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