Nilsestuen J O, Coon R L, Igler F O, Zuperku E J, Kampine J P
J Appl Physiol Respir Environ Exerc Physiol. 1979 Dec;47(6):1201-6. doi: 10.1152/jappl.1979.47.6.1201.
Recent studies have indicated that the breathing frequency responses to inspired CO2 in part result from changes in pulmonary stretch receptor activity. Pulmonary CO2 may alter frequency by direct inhibition of stretch receptor discharge, or secondarily, by changes in airway mechanics. The vascularly isolated left lower lobe (LLL) of the canine lung was used to determine the effect of hypocapnic airway constriction on the pulmonary CO2 reflex. The upper and middle lobes of the left lung were removed and the right vagus nerve sectioned. Blood was recirculated through the LLL. Diaphragm electromyogram was used as an index of respiratory center activity and to trigger ventilation of the left lower lobe. Lobar hypocapnia increased peak airway pressure and reduced respiratory rate. However, infusion of isoproterenol or the use of a mechanical overflow system to block the airway pressure response prevented the frequency changes associated with CO2. Although both the direct and mechanical effects of CO2 on stretch receptors may contribute to the reflex, in the LLL preparation the mechanical effects predominate.
最近的研究表明,对吸入二氧化碳的呼吸频率反应部分源于肺牵张感受器活动的变化。肺部二氧化碳可能通过直接抑制牵张感受器放电来改变频率,或者其次,通过气道力学的变化来改变频率。犬肺血管分离的左下叶(LLL)被用于确定低碳酸血症性气道收缩对肺部二氧化碳反射的影响。切除左肺的上叶和中叶,并切断右侧迷走神经。血液在左下叶循环。膈肌肌电图被用作呼吸中枢活动的指标,并触发左下叶的通气。叶性低碳酸血症增加了气道峰值压力并降低了呼吸频率。然而,输注异丙肾上腺素或使用机械溢流系统来阻断气道压力反应可防止与二氧化碳相关的频率变化。尽管二氧化碳对牵张感受器的直接和机械作用都可能促成反射,但在左下叶制备中,机械作用占主导地位。