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颈动脉窦和心肺反射对猫左心室dp/dt的作用。

Role of carotid sinus and cardiopulmonary reflexes on left ventricular dP/dt in cats.

作者信息

Shimizu T, Bishop V S

出版信息

Am J Physiol. 1980 Jan;238(1):H93-7. doi: 10.1152/ajpheart.1980.238.1.H93.

Abstract

Interaction between vagally mediated cardiopulmonary receptors and carotid sinus baroreceptors was studied in regard to cardiac contractility in anesthetized cats using vagal cold block and carotid occlusion. Cold block of the vagi produced a small but significant increase in left ventricular dP/dt and in arterial pressure. Carotid occlusion caused a greater increase in both parameters. The effects of each of these individual procedures were significantly greater when either intervention was tested in combination with the other. Cardiac sympathectomy reduced but did not abolish the reflex increase in cardiac contractility due to either procedure. Subsequent beta-adrenergic blockade eliminated the reflex change in the contractility. The study demonstrates that 1) both cardiopulmonary and carotid sinus baroreceptors participate in the neural control of cardiac contractility with the latter's role being dominant; 2) there is an apparent interaction between the two reflex mechanisms in which one reflex system acts to compensate the other's effects.

摘要

利用迷走神经冷阻断和颈动脉闭塞法,在麻醉猫身上研究了迷走神经介导的心肺感受器与颈动脉窦压力感受器之间关于心脏收缩力的相互作用。迷走神经冷阻断使左心室dp/dt和动脉压出现小幅但显著的升高。颈动脉闭塞导致这两个参数有更大幅度的升高。当将这两种单独的操作联合进行测试时,每种操作的效果都显著增强。心脏交感神经切除术减少了但并未消除因这两种操作所致的心脏收缩力反射性增加。随后的β肾上腺素能阻断消除了收缩力的反射性变化。该研究表明:1)心肺感受器和颈动脉窦压力感受器均参与心脏收缩力的神经控制,其中后者起主导作用;2)这两种反射机制之间存在明显的相互作用,其中一种反射系统起到补偿另一种反射系统作用的效果。

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