麻醉前后新生大鼠正负压呼吸。

D Marlot, J P Mortola
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引用次数: 8

摘要

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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Positive- and negative-pressure breathing in newborn rat before and after anesthesia.

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.

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