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来自肺部的无髓迷走传入纤维在兔呼吸急促发生中的作用。

The role of non-myelinated vagal afferent fibres from the lungs in the genesis of tachypnoea in the rabbit.

作者信息

Guz A, Trenchard D W

出版信息

J Physiol. 1971 Mar;213(2):345-71. doi: 10.1113/jphysiol.1971.sp009386.

Abstract
  1. The use of a direct current (d.c.) to produce a differential block of conduction in the cervical vagus nerves of rabbits is described; the myelinated fibres are blocked, while the non-myelinated ;C' fibres conduct normally. The method produces reproducible and reversible results.2. The block is equally effective for low and high frequencies of discharge (1-100 Hz). During recovery or development of the block, lower frequencies of discharge can pass but higher frequencies cannot.3. Block of conduction in myelinated fibres is associated with slower, deeper breathing, confirming previous work with cooling.4. A further slowing and deepening of breathing may occur when a differentially blocked (;non-myelinated') nerve is sectioned, and this is mainly apparent when there are pathological conditions in the lungs.5. The respiratory response to the right atrial injection of phenyl diguanide is mediated by non-myelinated thoracic vagal afferent fibres.6. The tachypnoeic response to lung deflation is not mediated by non-myelinated fibres.7. Head's Paradoxical reflex has been demonstrated during partial recovery of conduction in myelinated fibres when only lower frequencies of afferent discharge can pass the area of block.8. A standard technique for providing a reproducible vagally mediated, tachypnoeic response to pulmonary micro-embolism is described using inert carbon-coated microspheres of 50 mum diameter. This tachypnoeic response was unchanged during a differential block indicating that the response was mediated by non-myelinated ;C' fibres.9. Pathological changes such as haemorrhage, oedema, infarction and collapse were absent after micro-embolism, and there were no systematic changes in lung resistance and compliance. The walls of arterioles and adjacent alveoli are distorted by the emboli and these areas are the probable sites of afferent stimulation.
摘要
  1. 本文描述了利用直流电在兔颈迷走神经中产生传导差异阻滞的方法;有髓纤维被阻滞,而非有髓的“C”纤维传导正常。该方法能产生可重复且可逆的结果。

  2. 该阻滞对低频和高频放电(1 - 100赫兹)同样有效。在阻滞恢复或形成过程中,较低频率的放电可以通过,但较高频率的则不能。

  3. 有髓纤维传导阻滞与呼吸变慢、变深相关,这证实了先前关于冷却的研究结果。

  4. 当切断差异阻滞(“非有髓的”)神经时,呼吸可能会进一步变慢、变深,这在肺部存在病理状况时尤为明显。

  5. 右心房注射苯基双胍引起的呼吸反应由非有髓的胸段迷走传入纤维介导。

  6. 肺萎陷引起的呼吸急促反应并非由非有髓纤维介导。

  7. 在有髓纤维传导部分恢复期间,当只有较低频率的传入放电能够通过阻滞区域时,证实了海德氏反常反射。

  8. 描述了一种使用直径为50微米的惰性碳包被微球来提供可重复的、由迷走神经介导的对肺微栓塞的呼吸急促反应的标准技术。在差异阻滞期间,这种呼吸急促反应未发生变化,表明该反应由非有髓的“C”纤维介导。

  9. 微栓塞后未出现出血、水肿、梗死和肺萎陷等病理变化,肺阻力和顺应性也无系统性改变。微栓子使小动脉壁和相邻肺泡壁变形,这些区域可能是传入刺激的部位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f30/1331764/37d0bd92b95a/jphysiol01032-0109-a.jpg

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