St John W M, Daubenspeck J A
Respir Physiol. 1979 Feb;36(2):187-99. doi: 10.1016/0034-5687(79)90024-0.
Respiratory responses to hypercapnia and isocapnic hypoxia were evaluated in vagotomized decerebrate cats prior to and following lesions in the midline at the pontomedullary junction. Subsequent to these lesions, frequency responses to hypercapnia were significantly elevated whereas the concomitantly determined tidal volumes were significantly lowered. In the post-lesion phase, the durations of inspiration, expiration and the total respiratory cycle at maximum hypercapnia-induced tidal volumes were lower than comparable values at maximum tidal volumes in the pre-lesion phase. The same lesions produced no significant alteration of respiratory responses to hypoxia. Mesencephalic or rostral pontile lesions caused no systematic changes in either hypercapnia- or hypoxia-induced responses. It is concluded that the lesions at the pontomedullary junction produce ventilatory alterations by interrupting a pathway interconnecting the caudal pontile apneustic center with the medullary respiratory complex. The possibility that this interruption produces an alteration in the threshold of the inspiratory off-switch mechanism of the brainstem respiratory controller is considered and discussed.
在脑桥延髓交界处进行中线损伤前后,对迷走神经切断的去大脑猫的高碳酸血症和等碳酸性低氧血症的呼吸反应进行了评估。这些损伤后,对高碳酸血症的频率反应显著升高,而同时测定的潮气量显著降低。在损伤后阶段,最大高碳酸血症诱导潮气量时的吸气、呼气持续时间以及总呼吸周期均低于损伤前阶段最大潮气量时的相应值。相同的损伤对低氧血症的呼吸反应没有显著改变。中脑或脑桥前部损伤在高碳酸血症或低氧血症诱导的反应中均未引起系统性变化。结论是,脑桥延髓交界处的损伤通过中断连接脑桥尾部喘息中枢与延髓呼吸复合体的通路而产生通气改变。本文考虑并讨论了这种中断是否会改变脑干呼吸控制器吸气切断机制阈值的可能性。