van Lunteren E, Strohl K P
Clin Chest Med. 1986 Jun;7(2):171-88.
The upper airways are a complex structure with multiple functions; many of the muscles participate in the act of respiration. The neural control of upper airway muscles is distinct from that of chest wall muscles under a variety of circumstances. Coordinated activation of upper airway muscles, both regionally and inter-regionally, results in changes in upper airway size and resistance, alterations in the route of airflow, and increases in the ability of the airways to resist collapse. Several disorders have now been described in which neuromuscular drive abnormalities and/or mechanical dysfunction of the upper airways occur, resulting in clinical disease.
上呼吸道是一个具有多种功能的复杂结构;许多肌肉参与呼吸活动。在多种情况下,上呼吸道肌肉的神经控制与胸壁肌肉的神经控制不同。上呼吸道肌肉在区域内和区域间的协调激活会导致上呼吸道大小和阻力的变化、气流路径的改变以及气道抗塌陷能力的增强。目前已经描述了几种疾病,其中存在神经肌肉驱动异常和/或上呼吸道机械功能障碍,从而导致临床疾病。