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延髓腹侧面在气管对二氧化碳反应中的作用

Influence of the ventral surface of the medulla on tracheal responses to CO2.

作者信息

Deal E C, Haxhiu M A, Norcia M P, Mitra J, Cherniack N S

出版信息

J Appl Physiol (1985). 1986 Sep;61(3):1091-7. doi: 10.1152/jappl.1986.61.3.1091.

Abstract

These studies investigated the role of the intermediate area of the ventral surface of the medulla (VMS) in the tracheal constriction produced by hypercapnia. Experiments were performed in chloralose-anesthetized, paralyzed, and artificially ventilated cats. Airway responses were assessed from pressure changes in a bypassed segment of the rostral cervical trachea. Hyperoxic hypercapnia increased tracheal pressure and phrenic nerve activity. Intravenous atropine pretreatment or vagotomy abolished the changes in tracheal pressure without affecting phrenic nerve discharge. Rapid cooling of the intermediate area reversed the tracheal constriction produced by hypercapnia. Graded cooling produced a progressive reduction in the changes in maximal tracheal pressure and phrenic nerve discharge responses caused by hypercapnia. Cooling the intermediate area to 20 degrees C significantly elevated the CO2 thresholds of both responses. These findings demonstrate that structures near the intermediate area of the VMS play a role in the neural cholinergic responses of the tracheal segment to CO2. It is possible that neurons or fibers in intermediate area influence the motor nuclei innervating the trachea. Alternatively, airway tone may be linked to respiratory motor activity so that medullary interventions that influence respiratory motor activity also alter bronchomotor tone.

摘要

这些研究调查了延髓腹侧面中间区域(VMS)在高碳酸血症引起的气管收缩中的作用。实验在氯醛糖麻醉、麻痹并人工通气的猫身上进行。通过颈段气管头端旁路部分的压力变化评估气道反应。高氧性高碳酸血症增加了气管压力和膈神经活动。静脉注射阿托品预处理或迷走神经切断术消除了气管压力的变化,而不影响膈神经放电。中间区域的快速冷却逆转了高碳酸血症引起的气管收缩。分级冷却使高碳酸血症引起的最大气管压力和膈神经放电反应的变化逐渐减少。将中间区域冷却至20摄氏度显著提高了两种反应的二氧化碳阈值。这些发现表明,VMS中间区域附近的结构在气管段对二氧化碳的神经胆碱能反应中起作用。中间区域的神经元或纤维可能影响支配气管的运动核。或者,气道张力可能与呼吸运动活动相关,因此影响呼吸运动活动的延髓干预也会改变支气管运动张力。

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