链霉素抑制呼吸的机制
THE MECHANISM OF RESPIRATORY INHIBITION OF STREPTOMYCIN
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摘要: 在家兔颈动脉窦区灌注实验中,给供血兔静脉注射链霉素不引起受血兔的呼吸改变,而给予氰化钠则可同时使两兔的呼吸兴奋.给麻醉家兔静脉注射氯化铵,既不能预防也不能对抗静脉给予链霉素的呼吸抑制作用.家兔小脑延髓池内注入链霉素720-14400单位,不引起呼吸改变.在狗交叉循环实验中,当向受血狗头部血循环中注入链霉素,受血狗的呼吸无变化,而血压降低.给受血狗的股静脉注入相同剂量的链霉素,则导致该狗呼吸停止.在家兔和大白鼠坐骨神经腓肠肌标本的实验中,链霉素可阻断神经肌肉标本并抑制呼吸,静脉注射氯化钙能平行的对抗链霉素的上述作用.这些实验指出,链霉素抑制呼吸的机制,不是由于它对中枢神经系统和颈动脉体化学感受器的抑制,而主要是由于其神经肌肉阻断作用所致.Abstract: The mechanism of respiratory inhibition of streptomycin was studied in the rats, rab- bits, and dogs. In the anaesthetized rabbits, intravenous injection of ammonium chloride neither prevented nor antagonized the respiratory insufficiency following intravenous ad- ministration of streptomycin. In some experiment, the caroid sinus area of one rabbit (recipient) was vascularly isolated and perfused by the arterial blood of another animal (donor). It was demonstrated that streptomycin given intravenously to the donor failed to provoke respiratory change of the recipient, while sodium cyanide given via the same route stimulated respiration in both rabbits. Furthermore streptomycin failed to influence the sodium cyanide hyperpnoea. Intracisteral injection of streptomycin in a dose of 720-14400 I.U./animal (total volume 0.18-0.20 ml) caused no changes of respiration. The mechanism of streptomycin was studied in cross-circulation experiment of dogs; the head circulation of the recipient dog was completely isolated from that of the body, and was perfused by the donor dog. When streptomycin, 70000 I.U./kg, was given to the head circulation via the donor animal, the recipient respiration did not change signifi- cantly, but respiratory paralysis of the recipient dog was induced by femoralis vena given to the recipient in the same dose of streptomycin. In the rabbits and rats, both the effects of respiratory inhibition and neuromuscular blockade of streptomycin were anta- gonized parallelly by intravenous injection of calcium chloride. It is suggested that the mechanism of respiratory inhibitory effect of streptomycin is related neither to the inhibitory effect on the central nervous system nor to that on the chemoreceptors of the carotid body, and that is chiefly due to the neuromuscular blokade: effect of streptomycin.
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