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[胸腔内疾病时柱状结构运动的变化(作者译)]

[Changes of the motility of the pillar in case of intrathoracical affections (author's transl)].

作者信息

Jeschek J

出版信息

Arch Otorhinolaryngol. 1977 May 31;215(3-4):329-44.

PMID:577700
Abstract

It is shown that in the light of relevant cases the intensified movements of the pillar and the vocal cords during the respiration can indicate a pulmonary or cardiac respiratory insufficience. The increased appearance of respiratory movements of the pillar after the stress of motion goes to prove a reduced cardiorespiratory efficiency. The unilateral or bilateral reduction of motility, the ataxy and tremor of the pillar as well as disturbances of coordination of the automatically steered respiratory movements of the pillar may indicate lesions of the distal, thoracical and abdominal vagus trunk by neoplasms and operative traumas, even if this damage was done far below the offset of the Rr. pharyngici. An interpretation of these retrograde losses of motility of the pillar is given, which is also important for understanding the median and intermediary position of the paralysed vocal cord.

摘要

结果表明,根据相关病例,呼吸时杓状软骨和声带的增强运动可提示肺或心脏呼吸功能不全。运动应激后杓状软骨呼吸运动的增加表明心肺效率降低。杓状软骨运动的单侧或双侧减弱、共济失调和震颤,以及杓状软骨自主控制呼吸运动的协调障碍,可能提示肿瘤和手术创伤导致的远端、胸段和腹段迷走神经干损伤,即使这种损伤发生在咽下缩肌起点以下很远的部位。文中给出了对杓状软骨这些逆行性运动丧失的解释,这对于理解麻痹声带的正中位和中间位也很重要。

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