Vignon H
Ann Anesthesiol Fr. 1977;18(7-8):607-10.
The author recalls the phenomena which control bronchomotility, without a personal study but based on recent bibliography. After recalling the bronchial nerve supply, the chemical intermediates, the various responses of the bronchial tree to autacoids, the author recalls the association of anesthesia and bronchospasm. Although the bronchial reactions of histaminic origin are the most frequent, mechanical or chemical irritation is recalled with an elementary description of "irritant receptors" and stretch receptors. Finally, the other causes of bronchial narrowing are considered: vago-sympathetic imbalance, atopic background, influence of the anesthetic on vagal tone or on adrenal medullary secretion.
作者回顾了控制支气管运动的现象，并非基于个人研究，而是依据近期的文献资料。在回顾了支气管的神经支配、化学介质、支气管树对自体活性物质的各种反应之后，作者回顾了麻醉与支气管痉挛的关联。尽管组胺源性支气管反应最为常见，但也提及了机械性或化学性刺激，并对“刺激感受器”和牵张感受器进行了简要描述。最后，还考虑了支气管狭窄的其他原因：迷走-交感神经失衡、特应性背景、麻醉药对迷走神经张力或肾上腺髓质分泌的影响。
