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Dynamic lung function in dogs with compensatory lung growth. 代偿性肺生长犬的动态肺功能。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1569
M E Arnup, H W Greville, L Oppenheimer, S N Mink, N R Anthonisen

Nine puppies underwent left pneumonectomy at 10 wk of age while nine sex-matched littermates had a sham operation, and all animals were studied at 25 wk of age. Postpneumonectomy dogs demonstrated compensatory growth in that lung weight and total lung capacity (TLC) were the same as those of control animals when normalized for body weight. In postpneumonectomy dogs all lobes of the remaining right lung increased in weight, but this was most notable in the cardiac lobe which grew across the mediastinum. Subdivisions of lung volume were normal in postpneumonectomy animals except for residual volume (RV): RV/TLC was increased when compared with control animals. In intact dogs static pressure-volume curves of the lung and respiratory system did not differ between groups, and the static pressure-volume curves of excised lungs were closely similar. Maximum expiratory flow was sharply reduced in postpneumonectomy dogs, averaging 40% of flow in control dogs over the lower 50% of the vital capacity. In both groups the fractional increase in maximal expiratory flow during HeO2 breathing was substantial and similar. Regional compliances, resistances, and perfusion distribution were examined using 133Xe. Regional compliance and perfusion were reduced in the left hemithorax of postpneumonectomy dogs while regional resistances were increased.

9只幼犬在10周龄时接受了左肺切除术,而9只性别匹配的幼崽则接受了假手术,所有动物在25周龄时接受了研究。肺切除术后的狗在肺重量和总肺活量(TLC)方面表现出代偿性生长,当体重正常化时与对照动物相同。在全肺切除后的狗中,其余右肺的所有肺叶重量都增加了,但这在横跨纵隔的心肺叶中最为明显。肺切除术后动物肺体积的细分正常,但残余体积(RV)除外:与对照动物相比,RV/TLC增加。完整犬肺和呼吸系统静压-容积曲线各组间无差异,切除肺静压-容积曲线组间基本相似。肺切除术后狗的最大呼气流量急剧减少,平均为对照组狗的40%,而肺活量较低的50%。在两组中,HeO2呼吸时最大呼气流量的分数增加是实质性的和相似的。使用133Xe检查区域顺应性、阻力和灌注分布。全肺切除后犬左半胸局部顺应性和灌注降低,局部阻力增加。
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引用次数: 19
Muscle glycogen repletion after exercise in trained normal and diabetic rats. 正常和糖尿病大鼠运动后肌糖原的补充。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1404
M H Tan, A Bonen, W Watson-Wright, D Hood, M Sopper, D Currie, A N Belcastro, G Pierce

We hypothesize that training results in a faster and greater repletion of glycogen in skeletal muscles of normal and diabetic rats. Normal male Sprague-Dawley rats (100-140 g) were divided into two groups--one to train by treadmill running for 10 wk and the other to remain sedentary. Forty-eight hours after the last training session the rats of both groups were exercised to exhaustion. One subgroup of each was fed oral glucose (3 g/kg) at exhaustion and killed 60 min later. The other was killed at exhaustion. The glycogen concentration of soleus, plantaris, and red and white gastrocnemius was determined in all rats. The trained group had higher glycogen levels after glucose feeding in all muscles (P less than 0.002) and repleted their muscle glycogen more rapidly (P less than 0.05). However, in diabetic rats (45 mg streptozotocin/kg body wt) the trained and sedentary rats have similar glycogen levels and glycogen repletion rates in all muscles. Compared with the normal trained rats, the diabetic trained rats had slower glycogen repletion rates (P less than 0.05).

我们假设训练可以使正常大鼠和糖尿病大鼠的骨骼肌更快、更大程度地补充糖原。正常雄性Sprague-Dawley大鼠(100-140克)被分成两组——一组在跑步机上跑步10周,另一组保持静止不动。最后一次训练48小时后,两组大鼠均运动至疲劳。每个亚组在衰竭时口服葡萄糖(3 g/kg), 60 min后处死。另一个因疲惫而死。测定各组大鼠比目鱼肌、车前肌、红腓肠肌和白腓肠肌的糖原浓度。训练组各肌肉糖原水平均高于对照组(P < 0.002),肌糖原补充速度较快(P < 0.05)。然而,在糖尿病大鼠(45 mg链脲佐菌素/kg体重)中,训练大鼠和静止大鼠在所有肌肉中具有相似的糖原水平和糖原补充率。与正常训练大鼠相比,糖尿病训练大鼠的糖原补充率较低(P < 0.05)。
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引用次数: 29
Mechanisms of substance P-induced contraction of rabbit airway smooth muscle. p物质诱导兔气道平滑肌收缩的机制。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1551
D T Tanaka, M M Grunstein

The contractile effects of substance P (SP) were studied in isolated rabbit tracheal smooth muscle (TSM) segments in vitro. Noncumulative administration of SP produced dose-dependent increases in TSM tension. The mean (+/- SE) peak isometric tension (Tmax) with SP was 35.7 (+/- 6.2%) of the corresponding Tmax response to methacholine. The dose of agonist producing 50% of Tmax (ED50) was significantly lower for SP, averaging 1.8 (+/- 0.4) X 10(-7) M, vs. 1.7 (+/- 0.32) X 10(-6) M for methacholine. Blockade of both parasympathetic ganglia with hexamethonium (10(-4) M) and neural transmission with tetrodotoxin (1 microgram/ml) had no effect on the TSM response to SP. On the other hand, TSM contraction to an ED50 dose of SP was 1) augmented by a mean (+/- SE) of 470 (+/- 110%) following pretreatment with the cholinesterase inhibitor, neostigmine (10(-6) M);2) inhibited by a mean (+/- SE) of 35 (+/- 15%) with the cholinergic antagonist, atropine (10(-4) M); and 3) also inhibited by a mean (+/- SE) of 45 (+/- 11%) following inhibition of acetylcholine synthesis with hemicholinium-3 (10(-4) M). Antagonists to 5-hydroxytryptamine, alpha 1-adrenergic, and histamine receptor binding had no effect on TSM contraction with SP. In contrast, the SP antagonist, D-Pro2,D-Trp7,9-SP, markedly inhibited TSM contraction to SP. Our findings indicate that rabbit TSM is sensitive to SP and its contraction is in part mediated by a peripheral cholinergic action, likely involving the accelerated release of acetylcholine at the airway neuromuscular junction.

研究了P物质(SP)对离体兔气管平滑肌(TSM)段的收缩作用。非累积性SP使TSM张力呈剂量依赖性增加。SP的平均(+/- SE)峰等距张力(Tmax)为甲胆碱对相应Tmax响应的35.7(+/- 6.2%)。SP产生50% Tmax (ED50)的激动剂剂量明显较低,平均为1.8 (+/- 0.4)X 10(-7) M,而甲胆碱为1.7 (+/- 0.32)X 10(-6) M。六甲铵(10(-4)M)阻断副交感神经节和河河鱼毒素(1微克/ml)阻断神经传递对SP的TSM反应没有影响。另一方面,ED50剂量SP对TSM的收缩作用,与胆碱酯酶抑制剂新斯的明(10(-6)M)预处理相比,1)增加了平均(+/- SE) 470(+/- 110%);2)胆碱能拮抗剂阿托品(10(-4)M)平均(+/- SE) 35(+/- 15%)的抑制作用;和3)也被平均(+ / - SE) 45(+ / - 11%)与hemicholinium-3抑制乙酰胆碱合成后(10 (4)M)。5 -羟色胺拮抗剂,α1-adrenergic,与组胺受体结合与SP TSM收缩没有影响。相比之下,SP拮抗剂,D-Pro2, D-Trp7, 9-SP,明显抑制TSM收缩SP。我们的发现表明兔子TSM敏感SP及其收缩部分由外围胆碱能行动,可能与气道神经肌肉连接处乙酰胆碱的加速释放有关。
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引用次数: 121
Pulmonary oxygen toxicity in awake dogs: metabolic and physiological effects. 清醒犬的肺氧毒性:代谢和生理影响。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1480
A L Harabin, L D Homer, M E Bradley

Because the pulmonary endothelium is sensitive to O2-induced damage, we studied in vivo angiotensin-converting enzyme (ACE) activity in the lungs of 14 catheterized unanesthetized dogs exposed either to air or continuous 100% O2 at 1 ATA. For 5 days, or until the dog died, we measured physiological variables and lung ACE activity. The metabolic data were analyzed with a model that accounted for the effect of changes in cardiac output. Nine dogs breathing O2 lived 88 +/- 21.8 (SD) h and except for blood O2 tensions were indistinguishible from controls until development of a terminal response lasting only a few hours. Hemodynamic instability preceded a precipitous terminal change in blood gas tensions which resulted in impairment of arterial oxygenation, hypercapnia, and acidosis. Plasma renin activity increased. The metabolic capacity of the pulmonary endothelium of O2-exposed animals decreased with time so that after 96 h it was 50% of the control. That of five control animals did not change with time. Thus changes in lung ACE activity preceded alterations in hemodynamics or gas exchange, and the contributions of each are discussed.

由于肺内皮对O2引起的损伤很敏感,我们研究了14只未经麻醉的狗在体内的肺血管紧张素转换酶(ACE)活性,这些狗分别暴露于空气中或连续1ata的100% O2中。在5天内,或直到狗死亡,我们测量了生理指标和肺ACE活性。代谢数据用一个模型进行分析,该模型考虑了心输出量变化的影响。9只呼吸O2的狗活了88 +/- 21.8 (SD) h,除了血氧紧张外,与对照组没有区别,直到出现持续仅几个小时的终末反应。血流动力学不稳定发生在血气张力急剧变化之前,导致动脉氧合损伤、高碳酸血症和酸中毒。血浆肾素活性升高。暴露于o2的动物肺内皮代谢能力随时间降低,96 h后为对照组的50%。5只对照动物的这一指标没有随时间变化。因此,肺ACE活性的改变先于血流动力学或气体交换的改变,并讨论了两者的作用。
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引用次数: 13
Effects of CO2 and bronchoconstriction on costal and crural diaphragm electromyograms. 二氧化碳和支气管收缩对肋膈肌电图的影响。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1347
E van Lunteren, M A Haxhiu, E C Deal, D Perkins, N S Cherniack

To determine if neural control of the crural diaphragm is similar to that of the costal diaphragm, electrical activity was recorded from these two parts of the diaphragm in 10 anesthetized dogs during resting O2 breathing and during progressive hyperoxic hypercapnia. Within a breath, the onset of crural diaphragm inspiratory activity started significantly earlier than that of the costal diaphragm under both resting and CO2 stimulated conditions, although the relative delay in costal diaphragm activity was smaller during hypercapnia than during resting O2 breathing. Following hyperventilation to apnea, both parts of the diaphragm resumed activity on the same breath. During CO2 rebreathing, the maximal increase in crural diaphragm peak electrical activity was significantly greater than that of the costal diaphragm. We also examined the effects of histamine-induced bronchoconstriction on diaphragm activity. Following administration of histamine aerosol there was a transient of irregular breathing during which in three animals costal diaphragm activity became nearly quiet, although there was continued activity of the crural diaphragm. Once breathing became more regular, there was a significantly greater stimulation of crural diaphragm than costal diaphragm activity; this difference persisted for 15 min after histamine inhalation. These results support the concept that electrical activity can be distributed nonuniformly to the costal and crural diaphragm and demonstrate that the crural diaphragm has a greater gain with hypercapnia and bronchoconstriction than does the costal diaphragm.

为了确定脚横膈膜的神经控制是否与肋横膈膜相似,我们记录了10只麻醉犬在静息氧气呼吸和进行性高氧高碳酸血症期间这两部分横膈膜的电活动。在一次呼吸中,在静息和CO2刺激条件下,脚膈吸气活动的开始明显早于肋膈,尽管高碳酸血症时肋膈活动的相对延迟比静息O2呼吸时要小。在过度换气到呼吸暂停后,膈肌的两个部分在同一呼吸中恢复活动。在CO2再呼吸过程中,脚膈肌电活动峰值的最大增幅明显大于肋膈肌。我们还研究了组胺诱导的支气管收缩对膈肌活动的影响。在使用组胺气雾剂后,有3只动物出现短暂的不规则呼吸,其间肋膈肌活动几乎停止,尽管脚膈肌继续活动。一旦呼吸变得更有规律,对脚膈的刺激明显大于肋膈活动;这种差异在吸入组胺后持续15分钟。这些结果支持了脑电活动可以不均匀地分布到肋膈和脚膈的概念,并证明了脚膈在高碳酸血症和支气管收缩时比肋膈有更大的获益。
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引用次数: 24
Right and left ventricular pressure-volume response to respiratory maneuvers. 左右心室压力-容积对呼吸动作的反应。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1520
W P Santamore, J L Heckman, A A Bove

With respiration, right ventricular end-diastolic volume fluctuates. We examined the importance of these right ventricular volume changes on left ventricular function. In six mongrel dogs, right and left ventricular volumes and pressures and esophageal pressure were simultaneously measured during normal respiration, Valsalva maneuver, and Mueller maneuver. The right and left ventricular volumes were calculated from cineradiographic positions of endocardial radiopaque markers. Increases in right ventricular volume were associated with changes in the left ventricular (LV) pressure-volume relationship. With normal respiration, right ventricular end-diastolic volume increased 2.3 +/- 0.7 ml during inspiration, LV transmural diastolic pressure was unchanged, and LV diastolic volume decreased slightly. This effect was accentuated by the Mueller maneuver; right ventricular end-diastolic volume increased 10.4 +/- 2.3 ml (P less than 0.05), while left ventricular end-diastolic pressure increased 3.6 mmHg (P less than 0.05) without a significant change in left ventricular end-diastolic volume. Conversely, with a Valsalva maneuver, right ventricular volume decreased 6.5 +/- 1.2 ml (P less than 0.05), and left ventricular end-diastolic pressure decreased 2.2 +/- 0.5 mmHg (P less than 0.05) despite an unchanged left ventricular end-diastolic volume. These changes in the left ventricular pressure-volume relationship, secondary to changes in right ventricular volumes, are probably due to ventricular interdependence. Ventricular interdependence may also be an additional factor for the decrease in left ventricular stroke volume during inspiration.

随着呼吸,右心室舒张末期容积波动。我们检查了这些右心室容积变化对左心室功能的重要性。在正常呼吸、Valsalva手法和Mueller手法下,同时测量6只杂种狗的左右心室容积、左心室压力和食管压力。通过心内膜不透射线标记物的x线位置计算左、右心室容积。右心室容积增加与左心室压力-容积关系的改变有关。呼吸正常时,吸气时右室舒张末期容积增加2.3 +/- 0.7 ml,左室经壁舒张压不变,左室舒张容积略有下降。穆勒的策略使这种效果更加突出;右室舒张末期容积升高10.4±2.3 ml (P < 0.05),左室舒张末期压升高3.6 mmHg (P < 0.05),左室舒张末期容积无明显变化。相反,采用Valsalva手法,右心室容积降低6.5 +/- 1.2 ml (P < 0.05),左心室舒张末期压降低2.2 +/- 0.5 mmHg (P < 0.05),尽管左心室舒张末期容积保持不变。这些左心室压力-容积关系的变化继发于右心室容积的变化,可能是由于心室相互依赖。心室相互依赖也可能是吸气时左心室卒中容量减少的另一个因素。
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引用次数: 44
Decrease in functional residual capacity during sleep in normal humans. 正常人睡眠时功能剩余容量的减少。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1319
D W Hudgel, P Devadatta

A decrease in functional residual capacity (FRC) during sleep could result in worsening of ventilation distribution contributing to sleep hypoxemia. Therefore the purpose of this study was to determine whether FRC does decrease and to what extent it decreases in normal humans during sleep. Using helium dilution in a closed system we measured FRC in 10 healthy males during wakefulness, stage 2, stages 3-4, and rapid-eye-movement (REM) sleep. Mean FRC decreased from 3.14 +/- 0.01 (SE) liters during wakefulness to 2.95 +/- 0.01 liters in stage 2 sleep. Lowest sleep values were 2.86 +/- 0.01 liters in stages 3-4 and 2.83 +/- 0.01 liters in REM sleep (P less than 0.05 from wakefulness). Although the amount of the decrease in FRC identified during sleep was surely not large enough to impair ventilation distribution in normal humans, this degree of decrease might contribute to the hypoxemia seen in patients with severe airflow limitation.

睡眠时功能剩余容量(FRC)的降低可导致通气分布恶化,从而导致睡眠低氧血症。因此,本研究的目的是确定FRC是否会减少,以及在正常人类睡眠期间FRC会减少到什么程度。我们在封闭系统中使用氦稀释法测量了10名健康男性在清醒、第2阶段、第3-4阶段和快速眼动(REM)睡眠期间的FRC。平均FRC从清醒时的3.14 +/- 0.01 (SE)升下降到第二阶段睡眠时的2.95 +/- 0.01升。3-4期睡眠值最低,为2.86 +/- 0.01升,REM期睡眠值最低,为2.83 +/- 0.01升(与清醒期相比P < 0.05)。虽然在睡眠中发现的FRC减少量肯定不足以影响正常人的通风分布,但这种程度的减少可能导致严重气流受限患者的低氧血症。
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引用次数: 182
Regional interdependence in calf lungs. 小牛肺的区域相互依赖。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1393
N E Robinson, R Ingersoll, R F Slocombe, L E Olson

We measured K, an index of interdependence in sublobar segments of both intact and excised calf lungs. In excised and intact lungs, segment volume was held constant while the lung was inflated. K in excised lungs was of small magnitude but was greater in caudal than in cranial and middle lobes. When isolated segments in a variety of regions and with a variety of shapes were studied, K was positively correlated with the interface area between the segment and the remainder of the lung, was negatively correlated with the pleural surface area of the segment, but was not correlated with segment volume. In a given region of lung, however, small segments had a greater interdependence than large segments. In intact lungs of anesthetized calves, K was an order of magnitude greater than in excised lungs, confirming that the chest wall is the major determinant of interdependence. There were no lobar differences in K in intact lungs.

我们测量了K,这是完整和切除的小牛肺叶下段的相互依赖指数。在切除和完整的肺中,肺段体积保持不变,同时肺膨胀。切除肺的K值较小,但尾叶大于颅叶和中叶。当研究不同区域、不同形状的分离节段时,K与节段与肺其余部分的界面面积呈正相关,与节段胸膜表面积呈负相关,但与节段体积无关。然而,在给定的肺区域,小节段比大节段具有更大的相互依赖性。在麻醉小牛的完整肺中,K比切除肺大一个数量级,证实胸壁是相互依赖的主要决定因素。完整肺中K值无大叶差异。
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引用次数: 6
VO2 kinetics of constant-load exercise following bed-rest-induced deconditioning. 卧床休息后持续负荷运动的VO2动力学。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1545
V A Convertino, D J Goldwater, H Sandler

The purpose of this study was to determine the effects of bed-rest-induced deconditioning on changes in O2 uptake (VO2) kinetics, O2 deficit, steady-state VO2, and recovery VO2 during the performance of constant-load exercise. Five male subjects (36-40 yr) underwent 7 days of continuous bed rest (BR) in the head-down (-6 degrees) position. Two days before (pre) and the day after (post) BR each subject performed one submaximal exercise test in the supine and one in the upright position consisting of 5 min of rest, 5 min of cycle ergometer exercise at 700 kg.m/min, and 10 min of recovery from exercise. VO2 was measured continuously in all tests from 2-liter aliquot gas samples collected every 30 s. Following BR steady-state VO2 was unchanged in supine and upright exercise. In the supine position BR did not change total exercise VO2, O2 deficit, or total recovery VO2. However, compared with pre-BR, total exercise VO2 decreased (P less than 0.05) from 7.41 +/- 0.11 to 7.23 +/- 0.17 liters, O2 deficit increased (P less than 0.05) from 1.15 +/- 0.05 to 1.41 +/- 0.07 liters, and total recovery VO2 increased (P less than 0.05) from 5.17 +/- 0.11 to 5.47 +/- 0.17 liters during the post-BR upright test. Despite the ability to attain similar steady-state VO2 within 5 min, bed-rest-induced deconditioning resulted in a reduction of total VO2 capacity and an increase in the O2 deficit during submaximal constant-load exercise. This change in VO2 kinetics is found only with exercise in the upright rather than supine position implicating orthostatic mechanisms in the delayed response to submaximal exercise.

本研究的目的是确定卧床休息诱导的去调节对恒定负荷运动中氧气摄取(VO2)动力学、氧气赤字、稳态VO2和恢复VO2变化的影响。5名男性受试者(36-40岁)头部向下(-6度)连续卧床休息(BR) 7天。BR前(前)和BR后(后)2天,每个受试者分别进行一次仰卧位和直立位的次极大运动测试,其中休息5分钟,700公斤的循环力计运动5分钟。M /min,运动后恢复10分钟。在所有测试中,从每30秒收集的2升等分气体样品中连续测量VO2。BR后,仰卧和直立运动时的稳态VO2不变。仰卧位时,BR不改变总运动VO2、O2赤字或总恢复VO2。然而,与br前相比,br后直立试验的总运动VO2从7.41 +/- 0.11升下降到7.23 +/- 0.17升(P < 0.05),氧亏从1.15 +/- 0.05升增加到1.41 +/- 0.07升(P < 0.05),总恢复VO2从5.17 +/- 0.11升增加到5.47 +/- 0.17升(P < 0.05)。尽管有能力在5分钟内达到类似的稳态VO2,但卧床休息诱导的去调节导致总VO2容量的降低和亚最大恒负荷运动期间O2赤字的增加。这种VO2动力学的变化仅在直立运动中发现,而不是仰卧位,这暗示了对次最大运动的延迟反应的直立机制。
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引用次数: 58
Positive- and negative-pressure breathing in newborn rat before and after anesthesia. 麻醉前后新生大鼠正负压呼吸。
Pub Date : 1984-11-01 DOI: 10.1152/jappl.1984.57.5.1454
D Marlot, J P Mortola

We have examined the effects of changes in functional residual capacity (FRC), determined by positive and negative body surface pressures, on the breathing pattern of intact newborn rats, before and after barbiturate anesthesia. With distending pressures (between 1 and 4 cmH2O) minute ventilation decreased mainly due to a prolongation of the expiratory time. This response was more marked after anesthesia and accompanied by a fall in tidal volume. The time of peak expiratory flow (TE'), an index of expiratory flow resistance, was not changed before anesthesia and only slightly decreased after anesthesia. With collapsing pressures between 1 and 2 cmH2O only small changes in breathing pattern occurred, whereas the TE' increased in all cases and the flow profile indicated a maintenance of lung volume during expiration. These data indicate that tonic vagal information is present in the newborn rat and is substantially enhanced after barbiturates. The result that changes in breathing pattern are not fully matched by the changes in TE' and expiratory flow profile may indicate that the receptors which control the respiratory pattern are not the same as those involved in the regulation of the expiratory flow. The pressure-volume curve of the respiratory system was similar before and after anesthesia, and the intercept was close to the zero pressure value, indicating that the FRC of the newborn rat, differently from the human baby, is not actively maintained above the resting volume of the system.

我们研究了在巴比妥酸盐麻醉前后,由体表正压和负压决定的功能剩余容量(FRC)变化对完整新生大鼠呼吸模式的影响。随着压力增大(1 ~ 4 cmH2O),分气量减少主要是由于呼气时间延长。麻醉后这种反应更为明显,并伴有潮气量的下降。呼气流量峰时间(TE’)是衡量呼气流量阻力的指标,麻醉前无变化,麻醉后仅略有下降。当压力在1 - 2 cmH2O之间塌陷时,呼吸模式仅发生微小变化,而TE'在所有病例中均增加,血流谱表明呼气时肺容量维持不变。这些数据表明,张力迷走神经信息存在于新生大鼠中,并在巴比妥类药物后显著增强。呼吸模式的变化与TE'和呼气流量的变化不完全匹配的结果可能表明控制呼吸模式的受体与调节呼气流量的受体不同。麻醉前后呼吸系统的压力-容积曲线相似,且截距接近零压力值,说明新生大鼠的FRC与人类婴儿不同,没有主动维持在系统静息容积以上。
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引用次数: 8
期刊
Journal of applied physiology: respiratory, environmental and exercise physiology
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