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体外循环犬肺二氧化碳浓度变化对肺牵张感受器放电的直接影响及其对呼吸的作用。

The direct effect on pulmonary stretch receptor discharge produced by changing lung carbon dioxide concentration in dogs on cardiopulmonary bypass and its action on breathing.

作者信息

Bradley G W, Noble M I, Trenchard D

出版信息

J Physiol. 1976 Oct;261(2):359-73. doi: 10.1113/jphysiol.1976.sp011563.

Abstract
  1. Single fibre pulmonary stretch receptor discharge was recorded in dogs on cardiopulmonary bypass. 2. Inhalation of CO2 depressed pulmonary stretch receptor discharge despite the absence of changes in arterial PCO2. This effect was particularly marked with airway CO2 levels below 5%. 3. Changing arterial PCO2, without changing airway CO2, had only small and insignificant effects on pulmonary stretch receptor discharge. 4. The effect of changes in airway CO2 on pulmonary stretch receptor discharge was rapid and correlated well in time with the reflex tachypnoea produced when CO2 was inhaled in conditions of cardiopulmonary bypass. 5. Stimulation of the central end of the cut vagus nerve was triggered from simultaneously recorded action potentials from a single pulmonary stretch receptor. 6. In these conditions, the reflex response to CO2 could be simulated provided that the pulmonary stretch receptor had an end-expiratory discharge. 7. It is suggested that the vagally mediated tachypnoeic response to changes in airway CO2 seen in conditions of cardiopulmonary bypass is due to the effect of CO2 on the end-expiratory discharge of pulmonary stretch receptors.
摘要
  1. 在体外循环的犬身上记录单纤维肺牵张感受器的放电情况。2. 吸入二氧化碳可抑制肺牵张感受器放电,尽管动脉血二氧化碳分压没有变化。气道二氧化碳水平低于5%时,这种效应尤为明显。3. 改变动脉血二氧化碳分压而不改变气道二氧化碳,对肺牵张感受器放电仅有微小且不显著的影响。4. 气道二氧化碳变化对肺牵张感受器放电的影响迅速,且与体外循环时吸入二氧化碳所引发的反射性呼吸急促在时间上密切相关。5. 从单个肺牵张感受器同时记录的动作电位触发对切断迷走神经中枢端的刺激。6. 在这些条件下,只要肺牵张感受器有呼气末放电,就能模拟对二氧化碳的反射反应。7. 有人提出,在体外循环情况下,迷走神经介导的对气道二氧化碳变化的呼吸急促反应是由于二氧化碳对肺牵张感受器呼气末放电的影响。

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