麻醉犬呼气末肺容量迷走神经控制。

K F Chung, P Jones, S J Keyes, B M Morgan, P D Snashall
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摘要

我们研究了用硫喷妥酮和葡萄糖氯蔗糖麻醉的狗在迷走神经切开术后呼气末肺体积(VEEL)增加的机制。研究犬(n = 10)分三个阶段进行:a)基线期,b)双侧迷走神经切开术后,c)迷走神经切开术后使用suxamethonium麻痹期间。为了研究姿势的影响,我们随机研究了直立(n = 5)和仰卧(n = 5)两种姿势的狗。经迷走神经切开术后,肺量测定,直立犬和仰卧犬的VEEL分别增加27.8 +/- 13.6% (SD)和15.3 +/- 9.6%。瘫痪后,所有直立犬和3只仰卧犬的VEEL进一步小幅增加。迷走神经切开术或麻痹后肺的静态顺应性没有改变。迷走神经切开术后胸壁顺应性下降,但麻痹时恢复到基线值。腹直肌肌电图记录呼气暂停时的呼气肌活动;迷走神经切开术在直立犬中明显减少,而在仰卧犬中检测不到。我们得出结论,VEEL是由呼气肌主动维持的,主要是在迷走神经反射控制下。这种反射可以减少直立姿势时VEEL的增加。我们认为迷走神经反射机制也参与了肺膨胀期间呼气肌活动的抑制。
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Vagal control of end-expiratory lung volume in anaesthetized dogs.

We have studied the mechanism underlying the increase in end-expiratory lung volume (VEEL) after vagotomy in dogs anaesthetized with thiopentone and gluco-chloralose. Dogs (n = 10) were studied during three phases: a) baseline, b) after bilateral vagotomy, and c) during paralysis with suxamethonium after vagotomy. To examine the influence of posture, dogs were randomly studied either in the upright (n = 5) or in the supine (n = 5) position. After vagotomy, VEEL, as determined by spirometry, increased by 27.8 +/- 13.6% (SD) and 15.3 +/- 9.6% in upright and supine dogs, respectively. After paralysis, further small increases in VEEL were observed in all upright and three supine dogs. Static lung compliance did not change after vagotomy or paralysis. Chest wall compliance decreased after vagotomy, but returned towards baseline values during paralysis. The rectus abdominis electromyogram recorded expiratory muscle activity during the expiratory pause; vagotomy markedly reduced it in upright dogs and it was undetectable in supine dogs. We conclude that VEEL is actively maintained by expiratory muscles, predominantly under reflex vagal control. This reflex may serve to minimize the increase in VEEL that occurs on assuming the upright posture. We suggest that reflex vagal mechanisms are also involved in the inhibition of expiratory muscle activity during lung inflation.

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