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喉对麻醉兔通气和呼吸模式的影响。

Effect of the larynx on ventilation and respiratory pattern in anesthetized rabbits.

作者信息

Kamosińska B, Szereda-Przestaszewska M

机构信息

Dept. of Neurophysiology, Polish Academy of Sciences, Warsaw.

出版信息

Res Exp Med (Berl). 1988;188(1):49-57. doi: 10.1007/BF01852094.

Abstract

The effects of the larynx on ventilation and pattern of breathing have been investigated in anesthetized, spontaneously breathing rabbits. Breathing was either via a tracheostomy or via a supralaryngeal tube in control condition, after laryngeal denervation and after subsequent bilateral midcervical vagotomy. Laryngeal resistance was measured in all experimental conditions when breathing was through the larynx. In control conditions the presence of the larynx in the breathing circuit, as compared to breathing through the tracheostomy, slightly but significantly lowered inspiratory and expiratory airflows, tidal volume, and minute ventilation and increased tracheal pressure. Inspiratory and expiratory durations were not significantly changed. Expiratory laryngeal resistance was higher than inspiratory. Laryngeal deafferentation did not significantly modify values of the respiratory variables. Subsequent motor denervation of the larynx enhanced the decrease in ventilatory parameters due to adding the larynx to the circuit and lengthened the respiratory cycle. Inspiratory laryngeal resistance increased sevenfold and expiratory resistance threefold. Subsequent midcervical vagotomy induced a further increase in inspiratory and expiratory durations and augmented tidal volume independent of the route of breathing, and also reduced laryngeal resistance previously increased by motor denervation. These results reveal the ventilatory effects of the larynx and show the importance of its patency in the pattern of breathing.

摘要

在麻醉状态下自主呼吸的家兔身上,研究了喉部对通气和呼吸模式的影响。在对照状态下、喉去神经支配后以及随后双侧颈中部迷走神经切断术后,呼吸通过气管造口术或经喉上导管进行。当通过喉部呼吸时,在所有实验条件下测量喉部阻力。在对照条件下,与通过气管造口术呼吸相比,呼吸回路中存在喉部会使吸气和呼气气流、潮气量和分钟通气量略有但显著降低,并使气管压力升高。吸气和呼气持续时间没有显著变化。呼气喉部阻力高于吸气。喉部传入神经切断术并未显著改变呼吸变量的值。随后喉部的运动神经去支配增强了由于在回路中增加喉部而导致的通气参数下降,并延长了呼吸周期。吸气喉部阻力增加了七倍,呼气阻力增加了三倍。随后的颈中部迷走神经切断术导致吸气和呼气持续时间进一步延长,并增加了潮气量,与呼吸途径无关,还降低了先前因运动神经去支配而增加的喉部阻力。这些结果揭示了喉部的通气效应,并表明其通畅性在呼吸模式中的重要性。

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