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气道阻力的喉部调节。II. 肺受体反射。

Laryngeal regulation of airway resistance. II. Pulmonary receptor reflexes.

作者信息

McCaffrey T V, Kern E B

出版信息

Ann Otol Rhinol Laryngol. 1980 Sep-Oct;89(5 Pt 1):462-6. doi: 10.1177/000348948008900520.

Abstract

The response of laryngeal airway resistance to pulmonary receptor stimulation was studied in 20 mongrel dogs anesthetized with alpha-chloralose (80 mg/kg). Stimulation of pulmonary stretch receptors by lung inflation inhibited the phasic variation of laryngeal resistance during respiration and produced a sustained reduction of laryngeal resistance, which was related to lung inflation pressure. Stimulation of pulmonary J-receptors with capsaicin produced apnea and a large increase in laryngea resistance. Capsaicin produced this reflex when injected into the pulmonary circulation but not when injected into the systemic circulation. Irritant receptor stimulation with histamine hydrochloride produced tachypnea and a reduction in inspiratory laryngeal resistance. Pulmonary receptor reflexes were abolished by dividing the vagus nerves distal to the origin of the recurrent laryngeal nerves. Laryngeal reflexes may be important in the regulation of respiration and the production of physiologic and pathologic alterations in pumonary function.

摘要

在20只使用α-氯醛糖(80毫克/千克)麻醉的杂种犬中,研究了喉气道阻力对肺感受器刺激的反应。肺充气刺激肺牵张感受器会抑制呼吸过程中喉阻力的相位变化,并导致喉阻力持续降低,这与肺充气压力有关。用辣椒素刺激肺J感受器会导致呼吸暂停和喉阻力大幅增加。辣椒素注入肺循环时会产生这种反射,但注入体循环时则不会。用盐酸组胺刺激刺激感受器会导致呼吸急促和吸气期喉阻力降低。切断喉返神经起始部远端的迷走神经可消除肺感受器反射。喉反射在呼吸调节以及肺功能的生理和病理改变的产生中可能很重要。

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