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在黑林-布雷尔反射引起的呼吸暂停期间观察到的肺扩张对气管运动张力的反射效应。

Reflex effects of lung inflation on tracheomotor tone observed during apnea produced by the Hering-Breuer reflex.

作者信息

Coon R L

机构信息

Department of Anesthesiology, Clement J. Zablocki Veterans Affairs Medical Center, Medical College of Wisconsin, Milwaukee 53295.

出版信息

J Appl Physiol (1985). 1994 Jun;76(6):2546-51. doi: 10.1152/jappl.1994.76.6.2546.

Abstract

Reflex effects of static pressure lung inflation (SLI) on tracheomotor tone (TT) were studied during apnea produced by the Hering-Breuer expiratory-facilitatory reflex. Anesthetized dogs were placed on cardiopulmonary bypass, and diaphragm electromyogram was used as an indicator of central nervous system inspiratory output. Tracheomotor tone (TT) was reflexly produced by chemoreceptor stimulation. The volume and frequency of the ventilator [phasic lung inflation (PLI)] were adjusted to produce nearly a maximum reflex decrease in TT. The increase in TT observed while PLI was withheld (0 mmHg tracheal pressure) for 1-2 min was used as the control response. SLIs were interspersed among sets of PLIs. Although SLI produced apnea, TT returned toward the control TT recorded during 0 mmHg tracheal pressure. TT observed during apnea was reflexly sensitive to further increases in SLI and to changes in chemoreceptor stimulation, which also affected the time course of the tracheomotor responses. These results suggest that the reflex decrease in TT produced by SLI and the Hering-Breuer expiratory-facilitatory reflex are mediated by different central mechanisms but may be from the same or different pulmonary receptors.

摘要

在由黑林-布雷尔呼气易化反射引起的呼吸暂停期间,研究了静态压力肺充气(SLI)对气管运动张力(TT)的反射效应。将麻醉的狗置于体外循环上,膈肌肌电图用作中枢神经系统吸气输出的指标。化学感受器刺激可反射性地产生气管运动张力(TT)。调整呼吸机的容量和频率[相位性肺充气(PLI)],以使TT产生近乎最大的反射性降低。将在PLI停止(气管压力为0 mmHg)1-2分钟时观察到的TT增加用作对照反应。SLI穿插在多组PLI之间。尽管SLI会导致呼吸暂停,但TT会恢复到在气管压力为0 mmHg时记录的对照TT。呼吸暂停期间观察到的TT对SLI的进一步增加以及化学感受器刺激的变化具有反射敏感性,这也影响了气管运动反应的时间进程。这些结果表明,SLI和黑林-布雷尔呼气易化反射所产生的TT反射性降低是由不同的中枢机制介导的,但可能来自相同或不同的肺感受器。

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