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支气管哮喘发作时的黑林-布雷尔反射

The Hering-Breuer reflexes in the bronchial asthma attack.

作者信息

Koller E A, Kohl J

出版信息

Pflugers Arch. 1975 Jun 26;357(3-4):165-71. doi: 10.1007/BF00585972.

Abstract

The correlation between pulmonary stretch receptor activity and inspiration-expiration duration quotient as well as respiratory frequency (Hering-Breuer reflexes) has been established before and during an asthma attack in the guinea-pig. The Hering-Breuer reflexes subserving the self-regulation of breathing during uninfluenced spontaneous breathing no longer prevail after induction of a bronchial asthma attack. Increased stretch receptor activity following increased lung volume does not lead to inhibition of inspiratory activity (lung inflation reflex), but to an enhancement of the asthmatic tachypnoea. The latter is assumed to result from the expiratory self-compression of the lungs (lung deflation reflex). The enhancement of the deflation reflex by increasing lung volume during the asthma attack is discussed with regard to the uneven ventilation and the conditions in lung mechanics underlying the excitation of the lung deflation or collapse endings.

摘要

豚鼠在哮喘发作前和发作期间,已证实肺牵张感受器活动与吸气-呼气时长商以及呼吸频率(黑林-布雷尔反射)之间存在关联。在诱发支气管哮喘发作后,负责自主呼吸自我调节的黑林-布雷尔反射在无干扰的自主呼吸过程中不再占主导。肺容积增加后牵张感受器活动增强,不会导致吸气活动受抑制(肺充气反射),反而会增强哮喘性呼吸急促。后者被认为是由肺的呼气性自我压缩(肺萎陷反射)所致。针对哮喘发作期间通过增加肺容积增强萎陷反射的情况,结合通气不均以及肺萎陷或塌陷末梢兴奋背后的肺力学状况进行了讨论。

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