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脊髓横断犬肺静脉-左心房连接处扩张的反应

The response to distension of the pulmonary vein-left atrial junctions in dogs with spinal section.

作者信息

Burkhart S M, Ledsome J R

出版信息

J Physiol. 1974 Mar;237(3):685-700. doi: 10.1113/jphysiol.1974.sp010504.

Abstract
  1. A reflex increase in heart rate in response to pulmonary vein distension was observed in decerebrate dogs. This increase could not be totally abolished by treatment with both propranolol and bretylium tosylate. Only bilateral cervical vagotomy abolished the reflex increase in heart rate.2. A significant increase in heart rate occurred in a total of seventeen spinal dogs during pulmonary vein distension.3. In seven spinal animals in which blood pressure was maintained by the continuous infusion of noradrenaline, the increase in heart rate could be totally prevented by cervical vagotomy.4. The time course of the increase in heart rate observed in the spinal animals was rapid, reaching maximum expression within 10 sec of pulmonary vein distension. Such a time course is dissimilar from that associated with pulmonary vein distension in intact or decerebrate dogs in which maximum increases in heart rate take 1-3 min to develop.5. It is concluded that the reflex tachycardia resulting from pulmonary vein distension may be mediated by both an efferent sympathetic and an efferent vagal pathway, the relative significance of each component being dependent upon the prevailing autonomic drive existent in the animal at any specific time.
摘要
  1. 在去脑犬中观察到,肺静脉扩张会引起心率反射性增加。用普萘洛尔和甲苯磺酸溴苄铵治疗并不能完全消除这种增加。只有双侧颈迷走神经切断术才能消除心率的反射性增加。

  2. 在总共17只脊髓犬的肺静脉扩张过程中,心率显著增加。

  3. 在7只通过持续输注去甲肾上腺素维持血压的脊髓动物中,颈迷走神经切断术可完全防止心率增加。

  4. 在脊髓动物中观察到的心率增加的时间进程很快,在肺静脉扩张后10秒内达到最大程度。这种时间进程与完整或去脑犬中肺静脉扩张相关的时间进程不同,在完整或去脑犬中,心率最大增加需要1 - 3分钟才能出现。

  5. 得出的结论是,肺静脉扩张引起的反射性心动过速可能由传出交感神经和传出迷走神经通路介导,每个成分的相对重要性取决于动物在任何特定时间存在的自主神经驱动状态。

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