Lagneaux D, Bodson L, Remacle R
Arch Int Physiol Biochim. 1982 Nov;90(4):245-53. doi: 10.3109/13813458209103821.
Gaseous carbon dioxide was used to produce experimental pulmonary embolism in anaesthetized rats, the vagal nerves of which were either intact or severed. 1. Within seconds following intravenous CO2 injection, pulmonary hypertension, moderate systemic hypotension and bradycardia occurred. After a short hyperventilation period, intact rats showed a brief and transient apnea. Vagotomy suppresses (1) apnea presumably by interruption of reflexes from J pulmonary receptors (Paintal, 1967) and (2) bradycardia by the same token or by suppression of a reflex from auricular origin (Thorén, 1976). 2. Following that initial phase, the events were totally dependent on the right ventricular ability to overcome the pulmonary vascular resistance. If it failed, left and right pressures fell and a secondary apnea followed systemic hypotension. Vagotomy had no effect at this stage. Only half of all animals showed these features. 3. Pulmonary hypertension and hyperventilation lasted twenty minutes at least in intact rats, while vagotomized ones showed an evolution toward acute pulmonary oedema and death. 4. With the same amount of CO2/kg, the dogs of Verstappen et al. (1977) showed only minimal cardio-vascular alterations. The mode of effective embolization in the two species was probably different, as a function of the respective circulation times. But this geometrical point of view is not the only one to be considered: in rats, the rise of pulmonary arterial blood pressure remains even when mechanical obstruction by bubbles has dissipated and a local prolonged vasospasm could be advocated. 5. Acute pulmonary oedema rapidly occurring in vagotomized rats seems to be related to the hyperinflation (very large tidal volume) as also seen in this species with other intensive respiratory drives.
采用气态二氧化碳在麻醉大鼠中制造实验性肺栓塞,这些大鼠的迷走神经或完整或被切断。1. 静脉注射二氧化碳后数秒内,出现肺动脉高压、中度全身性低血压和心动过缓。在短暂的过度通气期后,完整大鼠出现短暂的呼吸暂停。切断迷走神经可抑制:(1)呼吸暂停,可能是通过中断来自肺J感受器的反射(潘塔尔,1967年);(2)同理,或通过抑制来自耳心反射,切断迷走神经可抑制心动过缓(托伦,1976年)。2. 在初始阶段之后,这些情况完全取决于右心室克服肺血管阻力的能力。如果右心室功能衰竭,左、右心室压力下降,继而出现继发性呼吸暂停和全身性低血压。在此阶段,切断迷走神经无影响。所有动物中只有一半表现出这些特征。3. 肺动脉高压和过度通气在完整大鼠中至少持续20分钟,而切断迷走神经的大鼠则逐渐发展为急性肺水肿并死亡。4. 给予相同剂量(每千克体重二氧化碳量相同),韦尔斯特彭等人(1977年)实验中的犬只仅出现轻微的心血管改变。两个物种有效的栓塞模式可能不同,这与各自的循环时间有关。但从几何学角度来看并非唯一需要考虑的因素:在大鼠中,即使气泡造成的机械性阻塞已经消散,肺动脉血压仍会升高,这可能是由于局部血管持续痉挛所致。5. 切断迷走神经的大鼠中迅速出现的急性肺水肿似乎与过度充气(潮气量非常大)有关,在该物种中,其他强烈的呼吸驱动也会出现这种情况。