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犬对雾化组胺的肺部反应:直接作用与迷走神经作用

Canine pulmonary response to aerosol histamine: direct versus vagal effects.

作者信息

Loring S H, Drazen J M, Ingram R H

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1977 Jun;42(6):946-52. doi: 10.1152/jappl.1977.42.6.946.

Abstract

Histamine, a potent bronchoconstrictor, has been shown to produce bronchoconstriction both directly and by a vagal reflex. To define the relative roles of direct and reflex effects, we studied the pulmonary response of dogs exposed to increasing doses of aerosol histamine before and after vagal blockade or vagotomy. In addition, the relative contributions of aerodynamically large and small airways to the overall response were determined by the measurement of pulmonary resistance on sulfur hexafluoride-oxygen and helium-oxygen mixtures. Histamine aerosol caused a similar dose-dependent increase in resistance of aerodynamically large and small airways and fall in dynamic compliance. The dose-response relationships were not consistently altered by either vagal blockade or vagotomy. The following variables were found not to alter the experimental results: anesthesia, type of aerosol generator, control of breathing during aerosol exposure, spontaneous breathing vs. controlled ventilation after aerosol exposure, cold block of vagi vs. vagotomy. We conclude that 1) histamine aerosol in dogs causes a local dose-dependent constriction of bronchial smooth muscle, and 2) the vagus nerve played a relatively minor role in the pulmonary response to aerosol histamine in these experiments.

摘要

组胺是一种强效支气管收缩剂,已被证明可直接或通过迷走神经反射引起支气管收缩。为了确定直接作用和反射作用的相对作用,我们研究了在迷走神经阻断或迷走神经切断前后,暴露于递增剂量气溶胶组胺的犬的肺部反应。此外,通过测量六氟化硫 - 氧气和氦 - 氧气混合物的肺阻力,确定了大气道和小气道对总体反应的相对贡献。组胺气雾剂导致大气道和小气道阻力出现类似的剂量依赖性增加,动态顺应性下降。迷走神经阻断或迷走神经切断均未一致改变剂量反应关系。发现以下变量不会改变实验结果:麻醉、气雾剂发生器类型、气雾剂暴露期间的呼吸控制、气雾剂暴露后的自主呼吸与控制通气、迷走神经冷阻断与迷走神经切断。我们得出结论:1)犬的组胺气雾剂可引起支气管平滑肌的局部剂量依赖性收缩,2)在这些实验中,迷走神经在肺部对气雾剂组胺的反应中起相对较小的作用。

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