Coon R L, Hopp F A, Zuperku E J
Department of Anesthesiology, Clement J. Zablocki Veterans Affairs Medical Center, Medical College of Wisconsin, Milwaukee 53295, USA.
Respir Physiol. 1995 Dec;102(2-3):187-94. doi: 10.1016/0034-5687(95)00058-5.
The purpose of this study was to determine whether contralateral inhibition of the triangularis sterni is produced by stimulation of intrathoracic sympathetic afferents. Dogs were anesthetized with sodium pentobarbital and placed on positive pressure ventilation. The chest was opened through a mid-sternal incision. Diaphragm and left and right triangularis sterni EMGs were recorded, post-vagotomy, before and during electrical stimulation of the left ventral ansa subclavia (VA), vagosympathetic trunk, ventrolateral and ventromedial cardiac nerves and, when present, the stellate cardiac nerve. Peak of the phasic diaphragm EMG and expiratory time were not significantly affected by stimulation of the VA. A significant decrease in inspiratory time was observed. Ipsilateral excitation and contralateral inhibition of the left and right triangularis sterni EMGs, respectively, were produced by stimulation of the VA. Stimulation of the other intrathoracic nerves produced a similar pattern of results. Conduction velocity determinations suggested that the afferents which produced the reflex responses are, at least in part, small A fibers.
本研究的目的是确定刺激胸内交感传入神经是否会产生对胸骨三角肌的对侧抑制。用戊巴比妥钠麻醉狗,并进行正压通气。通过胸骨正中切口打开胸腔。在迷走神经切断术后,记录膈肌以及左右胸骨三角肌的肌电图,分别在电刺激左锁骨下袢(VA)、迷走交感干、腹外侧和腹内侧心神经以及(如有)星状心神经之前和期间进行记录。刺激VA对膈肌肌电图的相位峰值和呼气时间没有显著影响。观察到吸气时间显著缩短。刺激VA分别产生了同侧对左、右胸骨三角肌肌电图的兴奋和对侧抑制。刺激其他胸内神经产生了类似的结果模式。传导速度测定表明,产生反射反应的传入神经至少部分是小A纤维。