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缓慢适应和快速适应的肺牵张感受器的兴奋均能减弱由氨诱发的呼吸急促。

Excitation of both slowly and rapidly adapting pulmonary stretch receptors attenuates tachypnea induced by ammonia.

作者信息

Matsumoto S, Shimizu T, Kanno T, Yamasaki M, Nagayama T

机构信息

First Department of Physiology, Fukushima Medical College, Japan.

出版信息

Fukushima J Med Sci. 1989 Dec;35(2):53-60.

PMID:2487312
Abstract

To elucidate the mechanism of attenuating the ammonia-induced tachypnea, the present study examined the discharge patterns and rates of slowly adapting pulmonary stretch receptors (SARs) and rapidly adapting pulmonary stretch receptors (RARs) in relation to the change in respiration produced by ammonia inhalation in anesthetized, spontaneously breathing rabbits. Extracellular action potentials of these two receptors were recorded at the peripheral cut-end of the left vagus nerve. A prolongation of expiration following ammonia inhalation occurred during the discharge of receptors increased continuously, particularly when the level of the discharge rate during expiration reached to approximately 20-fold, and under such circumstances the respiratory response was regularly associated with gasps. On the other hand, RARs increased their activity during only inspiration; this increased activity correlated with augmentation of inspiration. Furthermore, the prolongating effect of expiration due to ammonia inhalation was not observed after surgical denervation of the remaining right vagus nerve. These results suggest that vigorous stimulation of the SAR activity induced by ammonia inhalation can elicit a prolongation of expiration possibly resulting from augmentation of the Hering-Breuer inflation reflex and that augmentation of the increased RAR activity after ammonia inhalation counteracts the Hering-Breuer inflation reflex to shorten inspiration. Therefore, it is conceivable that strong stimulation of the SAR activity after ammonia inhalation counteracts the ammonia-induced tachypnea.

摘要

为阐明减轻氨诱导的呼吸急促的机制,本研究检测了麻醉状态下自主呼吸的家兔吸入氨后,慢适应性肺牵张感受器(SARs)和快适应性肺牵张感受器(RARs)的放电模式及放电频率与呼吸变化的关系。在左迷走神经外周切断端记录这两种感受器的细胞外动作电位。吸入氨后呼气延长发生在感受器放电持续增加时,尤其是呼气时放电频率达到约20倍时,且在这种情况下呼吸反应常伴有喘息。另一方面,RARs仅在吸气时活动增加;这种活动增加与吸气增强相关。此外,在切断右侧迷走神经后,未观察到吸入氨导致的呼气延长效应。这些结果表明,吸入氨引起的SAR活动强烈刺激可能通过增强黑林-伯鲁尔充气反射导致呼气延长,而吸入氨后RAR活动增加则抵消黑林-伯鲁尔充气反射以缩短吸气。因此,可以推测吸入氨后对SAR活动的强烈刺激可抵消氨诱导的呼吸急促。

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