[在26 ATA(氦-氮-氧混合物)实验潜水期间人类的心血管功能]。

P Barthelemy, F Joulia, H Burnet, Y Jammes
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引用次数: 0

摘要

在26ata(氦-氮-氧混合气)的两次人体实验潜水中;在静息和最大呼气(Valsalva)或吸气(m ller)运动期间,连续记录心脏频率(Fc)和桡动脉脉搏,分别用于增加或降低胸内压。在静息个体和最大呼吸运动期间测量1和26 ATA时的心血管变量。使用血压计不连续测量动脉血压,可以计算平均动脉压。在径向脉冲传感器的膜上保持平均动脉压的值。该方法由Posey等人(1969)提出,对动脉血压及其组成部分进行连续逼近和记录。目前的结果没有显示出在静息或在最大深度1ATA进行的 ller操作期间测量的Fc值或收缩压或舒张压的显著变化。另一方面,与常压反应相比,在深度进行的Valsalva演习诱导了循环变量的显着变化。最重要的影响是由于舒张压的显著降低导致压差的扩大。从高压条件下高压反射弓的灵敏度增大的角度讨论了这些观察结果。
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[Cardiovascular function in man during experimental dives at 26 ATA (helium-nitrogen-oxygen mixture)].

During two human experimental dives at 26 ATA (helium-nitrogen-oxygen gaz mixture; PIO2 = 400 mbar), the cardiac frequency (Fc) and radial arterial pulse were continuously recorded, at rest and during periods of maximal expiratory (Valsalva) or inspiratory (Müller) manoeuvres, used to increase or decrease the intrathoracic pressure, respectively. Cardiovascular variables were measured at 1 and 26 ATA in resting individuals and during the maximal respiratory manoeuvres. Discontinuous measurement of arterial blood pressure using a sphygomanometer allowed to calculate the mean arterial pressure. The value of mean arterial pressure was maintained against the membrane of a radial pulse sensor. This procedure, proposed by Posey et al. (1969), gives a continuous approximation and recording of arterial blood pressure and its components. The present results did not show significant variation in the values of Fc nor systolic or diastolic blood pressures measured at rest or during Müller manoeuvres performed at 1ATA at the maximal depth. On the other hand, Valsalva manoeuvres performed at depth induced significant variations in circulatory variables compared to the normobaric response. The most important effect was an enlargement of differential pressure due to a marked decrease in the diastolic blood pressure. These observations are discussed in terms of enlarged sensitivity of the baroreflex arch under hyperbaric condition.

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