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编辑同志: 敬阅贵刊1995年第6期第264页所刊陈文美医师的“利他林治疗肝病顽固性呃逆22例”一文后,收益不少,了解了治疗顽固性呃逆又一方法。但该文“讨论”一段中提到:“膈肌是迷走神经支配的司呼吸的肌肉,肝病晚期出现全身性生理病理变化,机体抵抗力下降,免疫功能异常,再加之细菌毒素作用,电解质、酸碱平衡失调,出现了神经一内分泌紊乱,迷走神经兴奋增高,从而导致顽固性膈肌痉挛。”笔者认为,膈由周围的肌肉和中央的腱膜构成,受膈神经(颈3—5)支配(中国医科大学主编。人体解剖学。第1版。北京:人民卫生出版社,1978:108)。膈神经的运动纤维支配膈肌,其感觉纤维布于胸膜、心包、胆
Editor: See your article No. 6, 1995, p. 264, published by Dr. Chen Wenmei, “Ritalin treatment of intractable hiccup in 22 cases of liver disease,” a article, a lot of benefits, understand the treatment of intractable hiccups another way. However, the article “Discussion” mentioned in the paragraph: “diaphragm is the vagus nerve dominated Division respiratory muscles, liver disease occurs late systemic physiological and pathological changes, decreased body immunity, immune dysfunction, combined with bacterial toxins, electrolytes, Balance disorders, neuroendocrine disorders, increased vagal excitement, leading to intractable diaphragmatic spasm. ”The author believes that the diaphragm from the surrounding muscles and the central aponeurosis, the phrenic nerve (cervical 3-5) dominated (Chinese medicine University editor. Human Anatomy. First Edition. Beijing: People’s Health Publishing House, 1978: 108). Diaphragmatic motion of the phrenic nerve fibers, the feeling of fiber cloth in the pleura, pericardium, gallbladder