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静脉注射乙醛诱发大鼠心肺抑制反射。

Cardiorespiratory inhibitory reflex induced by intravenous administration of acetaldehyde in rats.

作者信息

Brugere S, Saavedra A, Penna M

出版信息

Alcohol. 1986 Sep-Oct;3(5):317-22. doi: 10.1016/0741-8329(86)90008-x.

Abstract

In urethane anesthetized rats, intravenous administration of a bolus of acetaldehyde (diluted 50 times its volume in Ringer Locke solution) induced after a latency of about 1 second, a triple reflex response characterized by transient bradycardia, hypotension and apnea. Intensity of both bradycardia (r = -0.78) and hypotension (r = -0.74) were dose dependent (p less than 0.001). The triple response was blocked by vagotomy. Atropine and hexamethonium blocked bradycardia and hypotension and pretreatment of rats with reserpine (0.5 mg/100 g b.wt., IP) did not change the magnitude of the reflex response. The bolus effect was discarded by injecting the same volume of Ringer Locke solution in control test experiments. Administration of acetaldehyde directly into the left ventricle induced neither bradycardia nor hypotension, thus discarding a Bezold-Jarish reflex response. Administration of acetaldehyde directly into the right ventricle induced an increase in reflex bradycardia, hypotension and apnea with a shorter latency as compared to the intravenous route. The results suggest that the response induced by acetaldehyde is mediated by a reflex increase in vagal tone and probably is initiated in pulmonary vagal afferent fibers associated with the pulmonary J receptors.

摘要

在氨基甲酸乙酯麻醉的大鼠中,静脉注射大剂量乙醛(在林格洛克溶液中稀释50倍),约1秒的潜伏期后会引发三联反射反应,其特征为短暂性心动过缓、低血压和呼吸暂停。心动过缓(r = -0.78)和低血压(r = -0.74)的强度均呈剂量依赖性(p < 0.001)。三联反应可被迷走神经切断术阻断。阿托品和六甲铵可阻断心动过缓和低血压,用利血平(0.5 mg/100 g体重,腹腔注射)预处理大鼠并不会改变反射反应的幅度。在对照试验中,注射相同体积的林格洛克溶液可消除大剂量注射的效应。将乙醛直接注入左心室既不会引发心动过缓也不会导致低血压,因此排除了贝佐尔德-贾里什反射反应。与静脉途径相比,将乙醛直接注入右心室会引发反射性心动过缓、低血压和呼吸暂停增加,且潜伏期更短。结果表明,乙醛引发的反应是由迷走神经张力反射性增加介导的,可能起始于与肺J感受器相关的肺迷走传入纤维。

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