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组胺和苯基双胍在高碳酸血症和低氧血症中诱发呼吸急促。

Histamine and phenyldiguanide induced tachypnea in hypercapnia and hypoxia.

作者信息

Miserocchi G, Mazzarelli M, Quinn B, Mozes R S

出版信息

Respir Physiol. 1979 Feb;36(2):217-29. doi: 10.1016/0034-5687(79)90026-4.

Abstract

The rapid shallow breathing of pulmonary vagal origin following administration of histamine (H) and phenyldiguanide (PDG) was studied at different levels of hypercapnic and hypoxic stimulation. At all levels of chemical drive H and PDG caused an excitatory effect on timing of breathing and an inhibitory effect on the respiratory output. The latter was evaluated from the mean inspiratory flow rate and the mean rate of change of pressure developed in the lungs during an inspiratory effort against closed airways. The timing effect was greater at low than at high PaCO2 while the opposite was true for the output effect. At all PaCO2, H and PDG decreased the volume-threshold for termination of inspiration (leftward displacement of the VT vs TI relationship) of the VT Vs TI relationship). Hypoxia increased the respiratory output in control as much as with drug stimulation. Moreover, hypoxia did not affect the volume-threshold curve both in control and with H and PDG. We concluded that vagal afferents stimulated by H and PDG (irritant and/or J receptors) interfere with the timing and output response to central chemoreceptors stimulation (CO2 sensitivity) without affecting the response to peripheral chemoreceptors stimulation (mainly hypoxic chemosensitivity).

摘要

在不同程度的高碳酸血症和低氧刺激下,研究了组胺(H)和苯双胍(PDG)给药后肺迷走神经源性的快速浅呼吸。在所有化学驱动水平下,H和PDG对呼吸定时产生兴奋作用,对呼吸输出产生抑制作用。后者通过平均吸气流量和在气道关闭时吸气努力期间肺内产生的压力平均变化率来评估。低PaCO₂时定时效应比高PaCO₂时更大,而输出效应则相反。在所有PaCO₂水平下,H和PDG均降低了吸气终止的容积阈值(VT与TI关系向左移位)。低氧在对照中增加呼吸输出的程度与药物刺激时相同。此外,低氧在对照以及使用H和PDG时均不影响容积阈值曲线。我们得出结论,由H和PDG刺激的迷走神经传入纤维(刺激物和/或J受体)干扰了对中枢化学感受器刺激的定时和输出反应(二氧化碳敏感性),而不影响对外周化学感受器刺激的反应(主要是低氧化学敏感性)。

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