Estavillo J A, Adamson T P, Burger R E
Department of Anatomy, School of Medicine, Southern Illinois University, Carbondale 62901.
Respir Physiol. 1990 Sep;81(3):349-57. doi: 10.1016/0034-5687(90)90115-f.
To determine whether afferents in the middle cardiac nerves (MCN) contribute to extrapulmonary PaCO2 sensitivity, we did the following: we anesthetized six cockerels with sodium pentobarbital (25-35 mg/kg), and cannulated the cutaneous ulnar vein, and the carotid and brachial arteries. The thorax was opened and each lung unidirectionally ventilated from separate gas delivery systems. A ligature, which temporarily occluded blood flow, was placed around the right pulmonary artery. Both cardiac sympathetic nerves were cut, as well as the left vagus just above the level of the recurrent branch. We exposed the non-perfused right lung to 105 Torr PCO, to silence intrapulmonary chemoreceptors (IPC). We measured blood pressure, heart rate and ventilatory movements while the denervated left lung was used to fix PaCO2 at seven levels ranging from 7-140 Torr. As arterial PCO2 increased, ventilatory amplitude increased from 0.3 mm to 3.6 mm, while frequency decreased from 140 to 24 per min. After cutting the MCN, ventilatory movements were less responsive to PaCO2 changes. Ventilatory amplitude was 3.0 mm at the lowest PaCO2 and increased to 4.0 at the highest PaCO2. We conclude that: 1) when IPC discharge is low, afferents in the MCN inhibit ventilatory movements during hypocapnia, and 2) these afferents may contribute to systemic CO2 sensitivity.
为了确定心中间神经(MCN)中的传入神经是否有助于肺外二氧化碳敏感性,我们进行了以下操作:我们用戊巴比妥钠(25 - 35毫克/千克)麻醉了六只公鸡,并分别插管到尺侧皮静脉、颈动脉和肱动脉。打开胸腔,每个肺通过单独的气体输送系统进行单向通气。在右肺动脉周围放置一个临时阻断血流的结扎线。切断双侧心脏交感神经以及左迷走神经在返支水平以上的部分。我们将未灌注的右肺暴露于105托的二氧化碳分压下,以使肺内化学感受器(IPC)失活。在去神经支配的左肺用于将二氧化碳分压固定在7 - 140托的七个水平时,我们测量了血压、心率和呼吸运动。随着动脉二氧化碳分压升高,呼吸幅度从0.3毫米增加到3.6毫米,而频率从每分钟140次降至24次。切断MCN后,呼吸运动对二氧化碳分压变化的反应减弱。在最低二氧化碳分压时呼吸幅度为3.0毫米,在最高二氧化碳分压时增加到4.0毫米。我们得出以下结论:1)当IPC放电较低时,MCN中的传入神经在低碳酸血症期间抑制呼吸运动,2)这些传入神经可能有助于全身二氧化碳敏感性。