Sant'Ambrogio F B, Sant'Ambrogio G, Fisher J T
Department of Physiology and Biophysics, University of Texas Medical Branch, Galveston 77550.
Eur Respir J. 1988 Aug;1(8):685-90.
Transpulmonary pressure is thought to be closely associated with slowly adapting mechanoreceptor activity. The transpulmonary pressure required to inflate the lung to a given volume depends on pulmonary compliance: for equal tidal volumes less pressure will be required if compliance is higher. Therefore, an inverse relationship is expected between receptor activity and lung compliance for equal changes in lung volume. We have studied 33 slowly adapting airway stretch receptors (SARs) in anaesthetized, vagotomized, paralysed and artificially ventilated dogs, with the chest open, at constant tidal volume and frequency. After lung compliance had been increased by hyperinflation, all of the ten tracheal receptors studied and fourteen of the 23 intrapulmonary receptors reduced their activity. Of the remaining intrapulmonary receptors five increased their activity and four were unaffected. Our results indicate that, although airway stretch receptor discharge is usually related to transpulmonary pressure, this relationship is not always present in the case of peripherally located endings; this is possibly due to a discrepancy between local transmural pressure and overall transpulmonary pressure. Thus, in addition to the well described independence of SAR discharge frequency from lung volume, the activity of SARs having peripheral locations is not always predictable on the basis of changes in transpulmonary pressure.
跨肺压被认为与慢适应性机械感受器活动密切相关。将肺充气至给定容积所需的跨肺压取决于肺顺应性:对于相同的潮气量,如果顺应性较高,则所需压力较小。因此,对于相同的肺容积变化,预计感受器活动与肺顺应性之间呈反比关系。我们在开胸、潮气量和频率恒定的情况下,对麻醉、迷走神经切断、麻痹并进行人工通气的犬类中的33个慢适应性气道牵张感受器(SARs)进行了研究。在通过过度充气增加肺顺应性后,所研究的10个气管感受器中的所有感受器以及23个肺内感受器中的14个感受器降低了其活动。其余肺内感受器中,5个感受器活动增加,4个感受器未受影响。我们的结果表明,尽管气道牵张感受器放电通常与跨肺压相关,但在外周末梢的情况下这种关系并不总是存在;这可能是由于局部跨壁压与整体跨肺压之间的差异所致。因此,除了众所周知的SAR放电频率与肺容积的独立性之外,具有外周位置的SAR的活动并不总是可以根据跨肺压的变化来预测。