Kamosińska B, Szereda-Przestaszewska M
Department of Neurophysiology, Polish Academy of Sciences Medical Research Centre, Warsaw.
Acta Physiol Pol. 1990;41(4-6):185-93.
In twenty anaesthetized and spontaneously breathing rabbits airway pressures were measured above and below the larynx during tidal respiration through the larynx. Peak inspiratory and expiratory pressures at both sites were recorded in control conditions and then compared to values obtained in the course of progressive denervation of the airways. The two methods of denervation consisted of (1) bilateral section of superior and recurrent laryngeal nerves and of the midcervical vagotomy (horizontal method); (2) right-sided sections of the three nerves followed by left-sided sections (vertical method). Motor denervation of the larynx due to RLNs neurotomy (horizontal method) produced significant increases in intratracheal pressures in both phases of the respiratory cycle. Less prominent increments in pressures were achieved on RLNs neurotomy in the vertical method. SLNs section and vagotomy had little additional effect on airway pressures. Our results indicate that unilateral laryngeal palsy poses far smaller obstruction to breathing than simultaneous bilateral denervation, and that afferent denervation of the larynx has no effect on airway pressures.
在20只麻醉且自主呼吸的兔子中,于潮气量呼吸时通过喉部测量喉上方和下方的气道压力。在对照条件下记录两个部位的吸气峰值压力和呼气峰值压力,然后将其与气道渐进性去神经支配过程中获得的值进行比较。两种去神经支配方法包括:(1)双侧切断喉上神经和喉返神经以及颈中部迷走神经切断术(水平法);(2)右侧切断三条神经,随后左侧切断(垂直法)。喉返神经切断术(水平法)导致的喉部运动去神经支配在呼吸周期的两个阶段均使气管内压力显著升高。垂直法行喉返神经切断术时压力升高不太明显。切断喉上神经和迷走神经对气道压力几乎没有额外影响。我们的结果表明,单侧喉麻痹对呼吸造成的阻塞远小于同时双侧去神经支配,并且喉部传入神经去神经支配对气道压力没有影响。