兔进行性气道去神经支配引起的膈输出量变化。

B Kamosińska, M Szereda-Przestaszewska
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引用次数: 0

摘要

实验采用13只麻醉后通过喉部自主呼吸的家兔。在对照条件下以及在喉部和气管支气管室逐渐去神经过程中测量潮汐呼吸时的膈输出量。我们分析了喉上神经(SLN-s)切断术、喉返神经(RLN-s)切断术和逐级完全颈中迷走神经切断术后膈神经综合图的振幅和上升速率的变化,以及呼吸时间的TI、TE、TT和f的变化。神经切片采用两种方法:1)双侧SLN-s、RLN-s和颈迷走神经切断术(水平法);2)右侧SLN、RLN和迷走神经切除术,然后左侧这些神经切除术(垂直法)。喉部脱音对呼吸变量影响不大。单侧尤其是双侧声带麻痹使呼吸周期延长,TI/TT比值增高,膈神经综合图幅度和上升率增高。所有参数的最大值(不包括上升率)均在完全的颈中迷走神经切开术后获得。在两种去神经支配方法中,先右侧去神经支配后左侧去神经支配导致生物体更好地适应呼吸障碍(与对照组相比,TI和TE的变化较小)。通过“水平”方法(成对的神经段)去神经支配导致有效通气突然失效。
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Phrenic output changes due to progressive airway denervation in rabbits.

The experiments were performed with thirteen anaesthetized rabbits breathing spontaneously through the larynx. Phrenic output was measured during tidal respiration in control conditions and in the course of progressive denervation of the laryngeal and tracheobronchial compartments. We have analysed changes in amplitude and the rate of rise of the integrated phrenic neurogram as well as the changes in TI, TE, TT and f of the respiratory timing after superior laryngeal nerves (SLN-s) section, section of the recurrent laryngeal nerves (RLN-s) and step-wise complete midcervical vagotomy. Nerve sections were performed by two methods: 1) bilateral SLN-s, RLN-s and cervical vagal neurotomy (horizontal method); 2) right-sided neurotomies of SLN, RLN and vagus followed by left-sided neurotomies of these nerves (vertical method). Laryngeal deafferentation did not greatly affect respiratory variables. Unilateral and especially bilateral vocal cord paralysis prolonged the respiratory cycle with enhanced TI/TT ratio, increased amplitude and rate of rise of the integrated phrenic neurogram. Maximum values of all parameters (the rate of rise excluded) were achieved after complete midcervical vagotomy. Of the two methods of denervation, the right-sided followed by left-sided denervation led to better adaptation of the organism to the respiratory disturbance (smaller changes in TI and TE compared with the control values). Denervation by the 'horizontal' method (paired section of the nerves) led to an abrupt failure of effective ventilation.

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