Lauzon A M, Dechman G, Bates J H
Meakins-Christie Laboratories, McGill University, Montreal, Quebec, Canada.
J Appl Physiol (1985). 1992 Dec;73(6):2643-7. doi: 10.1152/jappl.1992.73.6.2643.
We studied the dynamics of respiratory mechanical parameters in anesthetized tracheostomized paralyzed dogs challenged with a bolus of histamine injected either venously (venous group) or arterially (arterial group). The venous group was further divided into two groups: the first was bilaterally vagotomized and received hexamethonium bromide (denervated group), and the second also received atropine sulfate (atropine group). In the venous group, tissue resistance (Rti) and tissue elastance (Eti) increased biphasically, whereas airway resistance was monophasic and synchronized with the second rise of the tissue parameters. In the arterial group, Rti, Eti, and airway resistance increased synchronously. The denervated and atropine groups showed dynamics similar to those of the venous group. We postulate that the first phase observed in Rti and Eti in the venous group is due to constriction of the smooth muscles of the peripheral airways and blood vessels distorting the parenchyma. The second and larger phase is then due to histamine reaching the bronchial circulation and constricting the central airways, again distorting the parenchyma. The results from the arterial group support this hypothesis, whereas those from the denervated group ascertain that none of the phases observed in the venous group was due to nervous reflexes.
我们研究了在麻醉、气管切开并麻痹的犬中,静脉注射(静脉组)或动脉注射(动脉组)组胺推注后呼吸力学参数的变化。静脉组进一步分为两组:第一组进行双侧迷走神经切断术并给予溴化六甲铵(去神经组),第二组还给予硫酸阿托品(阿托品组)。在静脉组中,组织阻力(Rti)和组织弹性(Eti)呈双相增加,而气道阻力呈单相增加且与组织参数的第二次升高同步。在动脉组中,Rti、Eti和气道阻力同步增加。去神经组和阿托品组的变化动态与静脉组相似。我们推测,静脉组中Rti和Eti观察到的第一阶段是由于外周气道和血管平滑肌收缩使实质变形所致。第二个且更大的阶段则是由于组胺到达支气管循环并使中央气道收缩,再次使实质变形。动脉组的结果支持这一假设,而去神经组的结果则确定静脉组中观察到的任何阶段都不是由神经反射引起的。