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进行性窒息过程中膈神经和肋间外肌运动神经元的活动

Phrenic and external intercostal motoneuron activity during progressive asphyxia.

作者信息

Macefield G, Nail B

机构信息

School of Physiology and Pharmacology, University of New South Wales, Kensington, Australia.

出版信息

J Appl Physiol (1985). 1987 Oct;63(4):1413-20. doi: 10.1152/jappl.1987.63.4.1413.

Abstract

Phrenic and external intercostal motoneuron activities were compared during progressive asphyxia induced by the interruption of artificial ventilation in the pentobarbital-urethan-anesthetized, gallamine-paralysed rabbit. The relative augmentation of inspiratory activity of the T1-T4 external intercostal nerves was significantly greater than that of the phrenic nerve during asphyxic hyperpnea. This was associated with a greater recruitment of intercostal than of phrenic motoneurons, particularly late in the hyperpneic phase immediately before the period of asphyxic apnea. However, peak and average discharge frequencies developed by intercostal motoneurons (n = 20) were only approximately 60% of those of the phrenic motoneurons (n = 28). Gasping respiration terminated the apneic period and was associated with a further intense recruitment of intercostal though not of phrenic motoneurons, but discharge frequencies developed by the intercostal motoneurons remained approximately 60% of those of the phrenic motoneurons. The instantaneous frequency profiles generated by the motoneurons often exhibited progressive changes during the terminal stages of hyperpnea (reduction in inspiratory duration and duty cycle and increases in inspiratory slope and discharge frequencies) such that much of the character of gasping respiration became evident before the apnea. Such smooth transitional sequences do not obviate the existence of an "independent gasping center" but do require that such a proposed center at least possess the capacity for interaction with those sites responsible for the generation of eupneic and hyperpneic respiration.

摘要

在戊巴比妥-氨基甲酸乙酯麻醉、加拉明麻痹的兔中,通过人工通气中断诱导渐进性窒息期间,比较了膈神经和肋间外肌运动神经元的活动。在窒息性呼吸急促期间,T1-T4肋间外神经吸气活动的相对增强明显大于膈神经。这与肋间运动神经元比膈运动神经元有更多的募集有关,特别是在窒息性呼吸暂停期之前的呼吸急促阶段后期。然而,肋间运动神经元(n = 20)产生的峰值和平均放电频率仅约为膈运动神经元(n = 28)的60%。喘息呼吸终止了呼吸暂停期,并且与肋间运动神经元(而非膈运动神经元)的进一步强烈募集有关,但肋间运动神经元产生的放电频率仍约为膈运动神经元的60%。运动神经元产生的瞬时频率曲线在呼吸急促的末期阶段通常表现出渐进性变化(吸气持续时间和占空比降低,吸气斜率和放电频率增加),以至于在呼吸暂停之前,喘息呼吸的许多特征就变得明显。这种平滑的过渡序列并不排除“独立喘息中枢”的存在,但确实要求这样一个假定的中枢至少具备与负责产生平静呼吸和呼吸急促的部位相互作用的能力。

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