Aleksandrova N P, Isaev G G
Fiziol Zh SSSR Im I M Sechenova. 1990 May;76(5):658-67.
In 18 anesthetized cats, electrical activity of diaphragmatic nerve, external intercostal muscles and diaphragm, was monitored. Starting from a certain level of inspiratory load, the transdiaphragmatic pressure and the diaphragm EMG decreased, the efferent activity of diaphragmatic nerve remaining the same. This data suggests a peripheral character of diaphragmatic muscle exhaustion related to disorders in neuromuscular transmission. Further exposure to hard mechanical load entails a decrease in diaphragmatic nerve electrical activity, too, thus indicating a development of central exhaustion of respiratory muscles, diaphragm in particular. The decrease in diaphragmatic nerve electrical activity may be related to excessive afferentation from the respiratory muscles mechanoreceptors, peripheral and central chemoreceptors leading to a "satiation" of inspiratory neurons of dorsal respiratory muscles; the hypoxic factor and the effect of endogenous physiologically active substances cannot be excluded either.
在18只麻醉猫中,监测了膈神经、肋间外肌和膈肌的电活动。从一定水平的吸气负荷开始,跨膈压和膈肌肌电图下降,而膈神经的传出活动保持不变。这些数据表明,膈肌疲劳具有外周性,与神经肌肉传递障碍有关。进一步暴露于硬机械负荷也会导致膈神经电活动下降,从而表明呼吸肌尤其是膈肌出现中枢性疲劳。膈神经电活动的下降可能与呼吸肌机械感受器、外周和中枢化学感受器的过度传入有关,导致背侧呼吸肌吸气神经元的“饱和”;缺氧因素和内源性生理活性物质的作用也不能排除。