Mitchell G S, Vidruk E H
J Appl Physiol (1985). 1985 Jul;59(1):198-204. doi: 10.1152/jappl.1985.59.1.198.
To assess the contributions of neural (vagal) and humoral (blood borne) mechanisms in the tracheal constriction that occurs when pump ventilation is transiently withheld, experiments were conducted on decerebrate dogs. The dogs were paralyzed and thoracotomized, and each lung was independently ventilated. Pressure changes within an isolated tracheal segment (Ps) were monitored as an index of tracheal caliber. In series I, pump ventilation was withheld 20 s at the prevailing end-expiratory pressure (3-5 cmH2O) from both lungs or either lung alone when 1) both lungs were intact; or 2) the left lung was vascularly isolated (VIL) by occluding the pulmonary artery and the right gas exchange lung (GEL) was vagally denervated. In series II, steady-state pressure changes in the VIL were made with constant GEL ventilation. With both lungs intact, 20-s apnea elicited a 17.3 +/- 2.6 cmH2O increase in Ps; the left and right lungs contributed equally to this response. Following vagotomy and pulmonary arterial occlusion, a 7.8 +/- 2.6 cmH2O increase in Ps was elicited from two lungs; the VIL response was 60 +/- 11% and the GEL 41 +/- 15%. Onset and one-half response times were faster from the VIL than GEL. Prolonged maneuvers elicited progressively larger responses from the GEL, but the VIL response plateaued within 30 s and then adapted towards the control level. In series II, steady-state increases or decreases in VIL pressure elicited small decreases or increases in Ps, respectively, which showed nearly complete adaptation within several minutes.(ABSTRACT TRUNCATED AT 250 WORDS)
为了评估在短暂停止泵通气时发生的气管收缩中神经(迷走神经)和体液(血源性)机制的作用,对去大脑的狗进行了实验。这些狗被麻痹并开胸,每个肺独立通气。监测孤立气管段内的压力变化(Ps)作为气管管径的指标。在系列I中,当1)双肺完整时;或2)通过阻断肺动脉使左肺血管隔离(VIL)且右气体交换肺(GEL)迷走神经去神经支配时,在当前呼气末压力(3 - 5 cmH₂O)下从双肺或仅从任一肺停止泵通气20秒。在系列II中,在GEL持续通气的情况下对VIL进行稳态压力变化。双肺完整时,20秒的呼吸暂停使Ps增加17.3±2.6 cmH₂O;左右肺对此反应的贡献相等。迷走神经切断和肺动脉闭塞后,双肺引起Ps增加7.8±2.6 cmH₂O;VIL的反应为60±11%,GEL为41±15%。VIL的起始和半反应时间比GEL快。长时间操作使GEL的反应逐渐增大,但VIL的反应在30秒内达到平台期,然后向对照水平适应。在系列II中,VIL压力的稳态升高或降低分别使Ps有小的降低或升高,在几分钟内几乎完全适应。(摘要截断于250字)