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库尔南讲座:腹部肌肉的机械作用。

Cournand lecture: Mechanical action of the abdominal muscles.

作者信息

De Troyer A

出版信息

Bull Eur Physiopathol Respir. 1983 Nov-Dec;19(6):575-81.

PMID:6228276
Abstract

The abdominal muscles, by causing a rise in abdominal pressure and a cranial displacement of the diaphragm, 1--deflate the lungs (minimize the increase in FRC which normally occurs when adopting the standing posture), 2--exert an expanding force on the lower rib cage, which may counterbalance or even dominate the insertional (expiratory) force they exert on the lower ribs by way of their insertions, 3--improve the pressure-generating ability of the diaphragm. In addition, because they prevent the diaphragmatic dome from descending during inspiration, they also improve the rib cage expanding action of the diaphragm.

摘要

腹肌通过增加腹内压并使膈肌向上移位,1. 使肺排空(将功能残气量在站立位时通常出现的增加减至最小),2. 对下胸廓施加扩张力,这可能抵消甚至主导它们通过附着点对下肋骨施加的附着(呼气)力,3. 提高膈肌产生压力的能力。此外,由于它们在吸气时防止膈肌穹窿下降,它们还增强了膈肌对胸廓的扩张作用。

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