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恒压充气时肺慢适应单位的矛盾反应。

Paradoxical response of pulmonary slowly adapting units during constant pressure lung inflation.

机构信息

Department of Medicine, University of Louisville, Louisville, Kentucky and Robley Rex VA Medical Center, Louisville, Kentucky.

出版信息

Am J Physiol Regul Integr Comp Physiol. 2021 Aug 1;321(2):R220-R227. doi: 10.1152/ajpregu.00116.2021. Epub 2021 Jun 30.

Abstract

Typically, unit discharge of slowly adapting receptors (SARs) declines slowly when lung inflation pressure is constant, although in some units it increases instead-a phenomenon hereinafter referred to as creeping. These studies characterize creeping behavior observed in 62 of 137 SAR units examined in anesthetized, open-chest, and mechanically ventilated rabbits. SAR units recorded from the cervical vagus nerve were studied during 4 s of constant lung inflation at 10, 20, and 30 cmHO. Affected SAR units creep more quickly as inflation pressure increases. SAR units also often deactivate after creeping, i.e., their activity decreases or stops completely. Creeping likely results from encoder switching from a low discharge to a high discharge SAR, because it disappears in SAR units with multiple receptive fields after blocking a high discharge encoder in one field leaves low discharge encoders intact. The results support that encoder switching is a common mechanism operating in lung mechanosensory units.

摘要

通常,当肺充气压力恒定时,缓慢适应感受器 (SAR) 的单位放电会缓慢下降,尽管在某些单位中它会增加——以下称为蠕动。这些研究描述了在麻醉、开胸和机械通气的兔子中检查的 137 个 SAR 单位中的 62 个观察到的蠕动行为。在以 10、20 和 30 cmHO 持续充气 4 s 的过程中,从颈迷走神经记录 SAR 单位。受影响的 SAR 单位随着充气压力的增加而蠕动得更快。SAR 单位在蠕动后也经常失活,即它们的活动减少或完全停止。蠕动可能是由于编码器从低放电切换到高放电 SAR 引起的,因为在阻塞一个场中的高放电编码器后,具有多个感受野的 SAR 单位中,低放电编码器仍然完好无损,因此蠕动消失了。结果支持编码器切换是在肺机械感受器单位中起作用的常见机制。

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