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论二氧化碳刺激作用向呼吸肌的传导。

On the transmission of the stimulating effects of carbon dioxide to the muscles of respiration.

作者信息

Bainton C R, Kirkwood P A, Sears T A

出版信息

J Physiol. 1978 Jul;280:249-72. doi: 10.1113/jphysiol.1978.sp012383.

Abstract
  1. Electromyography was used to measure the response of the diaphragm and intercostal muscles to CO2 in artificially ventilated decerebrate cats. 2. Hypocapnia produced tonic activity in either inspiratory or expiratory muscles or both, according to the preparation. 3. A graded effect of CO2 on both rhythmic and tonic activity was observed and for the latter this could be seen at as low as 10 torr PA,CO2. 4. In one human subject tonic firing of expiratory motoneurones was also induced by hypocapnia and this activity showed a graded increase with increasing (CO2. 5. A saggital incision of the medulla aimed at interrupting inspiratory bulbospinal axons abolished activity in inspiratory muscles and at eupnoeic levels of CO2 converted the activity of expiratory muscles from a periodic to a topic firing pattern. 6. Following such lesions the threshold for rhythmic excitation of expiratory muscles was elevated and this revealed that the graded effect of CO2 on tonic expiratory activity extends to as high as 60 torr. 7. The tonic activation of respiratory muscles in response to CO2 ceased after cervical cord transection or when the saggital incision in the medulla was extended caudally to the first cervical segment. 8. It is concluded that the CO2 dependent activation of spinal respiratory motoneurones is conveyed by bulbospinal axons which decussate in the vicinity of the obex and that this activation can be rhythmic or tonic. 9. It is suggested that the rhythmic excitation of expiratory muscles derives from a periodic inhibition of expiratory bulbospinal neurones which are subjected to a tonic CO2 dependent excitation which is continuously variable over the physiological range.
摘要
  1. 采用肌电图来测量人工通气的去大脑猫的膈肌和肋间肌对二氧化碳的反应。2. 根据制备情况,低碳酸血症在吸气肌或呼气肌或两者中产生紧张性活动。3. 观察到二氧化碳对节律性和紧张性活动均有分级效应,对于后者,在动脉血二氧化碳分压低至10托时即可观察到。4. 在一名人类受试者中,低碳酸血症也诱导了呼气运动神经元的紧张性放电,并且这种活动随着二氧化碳浓度增加呈分级增加。5. 旨在中断吸气性延髓脊髓轴突的延髓矢状切口消除了吸气肌的活动,并且在正常二氧化碳水平时,将呼气肌的活动从周期性模式转变为紧张性放电模式。6. 出现此类损伤后,呼气肌节律性兴奋的阈值升高,这表明二氧化碳对紧张性呼气活动的分级效应可延伸至高达60托。7. 颈髓横断后或当延髓矢状切口向尾端延伸至第一颈段时,呼吸肌对二氧化碳的紧张性激活停止。8. 得出的结论是,脊髓呼吸运动神经元的二氧化碳依赖性激活是由在闩附近交叉的延髓脊髓轴突传导的,并且这种激活可以是节律性的或紧张性的。9. 有人提出,呼气肌的节律性兴奋源于呼气性延髓脊髓神经元的周期性抑制,这些神经元受到紧张性二氧化碳依赖性兴奋的影响,这种兴奋在生理范围内持续变化。

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