Borel C O, Guy J, Barcik U, Natoli M J, Vann R D
Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA.
Respir Physiol. 1998 Jan;111(1):45-53. doi: 10.1016/s0034-5687(97)00098-4.
The effect of hypobaria on the ventilatory response to short-term hypoxia was studied by comparing the respiratory mechanical and inspired CO2 ventilatory responses to hypobaric hypoxia (438 mmHg) with normobaric hypoxia (11.8% FIO2). Fifteen spontaneously breathing, anesthetized cats were divided into three groups of five: time control, normobaric hypoxia and hypobaric hypoxia. Measurements of ventilation, gas exchange, and responses to intermittent CO2 rebreathing were collected over a 4 h period. PaO2 fell to 44.5 +/- 2.7 mmHg, PaCO2 fell to 24.8 +/- 0.9, and pH rose to 7.49 +/- 0.01 in both hypoxic groups. Tidal volume did not change with respect to time or condition, but frequency and ventilation were significantly increased in the hypobaric hypoxic group. The slope of the CO2 response was unchanged over time or by condition. These results suggest that hypobaric hypoxia may alter the pattern of breathing responses to hypoxia but not the CO2-response. If metabolic rate remained constant, these results could be explained by a difference in dead space between hypoxic conditions.
通过比较呼吸机械反应以及吸入二氧化碳通气反应,研究了低压对短期低氧通气反应的影响,比较对象为低压低氧(438 mmHg)与常压低氧(11.8% 吸入氧分数)。15只自主呼吸的麻醉猫被分为三组,每组五只:时间对照组、常压低氧组和低压低氧组。在4小时内收集通气、气体交换以及间歇性二氧化碳再呼吸反应的测量数据。两个低氧组的动脉血氧分压降至44.5±2.7 mmHg,动脉血二氧化碳分压降至24.8±0.9,pH值升至7.49±0.01。潮气量不随时间或条件变化,但低压低氧组的频率和通气量显著增加。二氧化碳反应斜率不随时间或条件改变。这些结果表明,低压低氧可能改变对低氧的呼吸反应模式,但不改变二氧化碳反应。如果代谢率保持恒定,这些结果可以用低氧条件下死腔的差异来解释。