Bogolepov N K, Dubrovskaia M K, Tlapshokov M Kh
Zh Nevropatol Psikhiatr Im S S Korsakova. 1975;75(9):1291-8.
The report contains an analysis of EMG studies of the main and auxilliary respiratory muscles in 47 patients with acute pneumonia. It was shown that there is a certain correlation between the character of the EMG, the severity and localization of pneumonia from the prevalent lesion of the different parts of the nervous system. In the pathogenesis of the depicted changes of bioelectrical activity in the respiratory muscles in acute pneumonia a certain significance can be allocated to changes in the functional state of the segmentary apparatus of the spinal cord, innervating the respiratory muscles. This in its turn is related to disorders in the suprasegmental influences stemming from the respiratory center, disturbances of the corticospinal, reticulo-spinal connections with pathological interoreceptive irritation from the affected lungs. It was also shown that insufficiency of the functional state of respiratory muscles, revealed both clinically and electromiographically, may lead to a secondary lung hypo-ventilation and be the reason for future development of hypoxic states.
该报告包含了对47例急性肺炎患者主要和辅助呼吸肌的肌电图研究分析。结果表明，肌电图特征、肺炎的严重程度和定位与神经系统不同部位的主要病变之间存在一定的相关性。在急性肺炎中呼吸肌生物电活动变化的发病机制中，支配呼吸肌的脊髓节段装置功能状态的改变具有一定意义。这反过来又与呼吸中枢的节段以上影响紊乱、皮质脊髓束和网状脊髓束连接的紊乱以及受影响肺部的病理性内感受性刺激有关。研究还表明，临床和肌电图检查均显示呼吸肌功能状态不足可能导致继发性肺通气不足，并成为未来低氧状态发展的原因。
