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喉部刺激对呼吸模式和总肺阻力的反射效应。

Reflex effects of laryngeal irritation on the pattern of breathing and total lung resistance.

作者信息

Boushey H A, Richardson P S, Widdicombe J G

出版信息

J Physiol. 1972 Jul;224(2):501-13. doi: 10.1113/jphysiol.1972.sp009908.

DOI:10.1113/jphysiol.1972.sp009908
PMID:5071406
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1331503/
Abstract
  1. The reflex responses to chemical and mechanical irritation of the laryngeal mucosa have been studied by applying stimuli to the open larynx of tracheostomized cats while monitoring ventilatory and circulatory variables. The responses were studied before and after vagotomy and before and after denervation of the larynx by transection of the superior and recurrent laryngeal nerves.2. The immediate response to laryngeal irritation was not consistent. The most frequent responses were coughing, and slowing and deepening of breathing without coughing. Less common were expiratory apnoea and sustained, simultaneous inspiratory and expiratory activity.3. A consistent late change in the pattern of breathing occurred. Slower, deeper breathing with increased total lung resistance (bronchoconstriction) was seen after the immediate response abated.4. The slowing of breathing was due to prolongation of both the time for inspiration and the time for expiration. The rate of increase in phrenic nerve activity was also slowed.5. Vagotomy did not alter qualitatively the reflex changes in the pattern of breathing, although bronchoconstriction no longer occurred.6. The responses were abolished by denervation of the larynx.
摘要
  1. 通过对气管切开猫的开放喉部施加刺激,同时监测通气和循环变量,研究了喉黏膜对化学和机械刺激的反射反应。在迷走神经切断前后以及通过切断喉上神经和喉返神经使喉部去神经前后对这些反应进行了研究。

  2. 对喉部刺激的即时反应并不一致。最常见的反应是咳嗽,以及呼吸减慢和加深但不咳嗽。较少见的是呼气性呼吸暂停以及持续的、同时的吸气和呼气活动。

  3. 呼吸模式出现了一致的后期变化。在即时反应消退后,可见呼吸变慢、变深,总肺阻力增加(支气管收缩)。

  4. 呼吸减慢是由于吸气时间和呼气时间均延长。膈神经活动的增加速率也减慢。

  5. 迷走神经切断术并未在质量上改变呼吸模式的反射变化,尽管不再发生支气管收缩。

  6. 喉部去神经后反应消失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc22/1331503/d98e8ea9e7e8/jphysiol01338-0247-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc22/1331503/58be22947d5d/jphysiol01338-0242-a.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc22/1331503/39c89101efd8/jphysiol01338-0243-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc22/1331503/6611420fd149/jphysiol01338-0243-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc22/1331503/7e93cbe61796/jphysiol01338-0246-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc22/1331503/d98e8ea9e7e8/jphysiol01338-0247-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc22/1331503/58be22947d5d/jphysiol01338-0242-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc22/1331503/1d0e5f7bc266/jphysiol01338-0242-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc22/1331503/39c89101efd8/jphysiol01338-0243-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc22/1331503/6611420fd149/jphysiol01338-0243-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc22/1331503/7e93cbe61796/jphysiol01338-0246-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc22/1331503/d98e8ea9e7e8/jphysiol01338-0247-a.jpg

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本文引用的文献

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Reflex acceleration of respiration arising from excitation of the vagus or its terminations in the lungs.迷走神经或其在肺部终末的兴奋所引起的呼吸反射性加速。
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Reflex control of discharge in motor fibres to the larynx.对喉运动纤维放电的反射控制。
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