Adams J M, Farkas G A, Rochester D F
Biomedical Engineering and Pulmonary Medicine, University of Virginia, Charlottesville 22908.
J Appl Physiol (1985). 1988 Jun;64(6):2279-86. doi: 10.1152/jappl.1988.64.6.2279.
This study tests three hypotheses regarding mechanisms that produce rapid shallow breathing during a severe inspiratory resistive load (IRL): 1) an intact vagal afferent pathway is necessary; 2) diaphragm fatigue contributes to tachypnea; and 3) hypoxia may alter the pattern of respiration. We imposed a severe IRL on pentobarbital sodium-anesthetized dogs, followed by bilateral vagotomy, then by supplemental O2. IRL alone produced rapid shallow breathing associated with hypercapnia and hypoxia. After the vagotomy, the breathing pattern became slow and deep, restoring arterial PCO2 but not arterial PO2 toward the control values. Relief of hypoxia had no effect, and at no time was there any evidence of fatigue of the diaphragm as measured by the response to phrenic nerve stimulation. We conclude that an intact afferent vagal pathway is necessary for the tachypnea resulting from a severe IRL, neither hypoxia nor diaphragm fatigue played a role, and, although we cannot rule out stimulation of vagal afferents, the simplest explanation for the increased frequency in our experiments is increased respiratory drive due to hypercapnia.
本研究检验了关于在严重吸气性阻力负荷(IRL)期间产生快速浅呼吸的机制的三个假设:1)完整的迷走神经传入通路是必要的;2)膈肌疲劳导致呼吸急促;3)低氧可能改变呼吸模式。我们对戊巴比妥钠麻醉的狗施加严重的IRL,随后进行双侧迷走神经切断术,然后补充氧气。单独的IRL产生与高碳酸血症和低氧相关的快速浅呼吸。迷走神经切断术后,呼吸模式变得缓慢而深沉,动脉PCO2恢复到对照值,但动脉PO2未恢复。低氧缓解没有效果,并且在任何时候都没有证据表明通过膈神经刺激反应测量的膈肌疲劳。我们得出结论,完整的迷走神经传入通路对于严重IRL导致的呼吸急促是必要的,低氧和膈肌疲劳均未起作用,并且,尽管我们不能排除迷走神经传入的刺激,但我们实验中频率增加的最简单解释是由于高碳酸血症导致的呼吸驱动增加。