Airway management（part1）【每周一问】NO.64
转载请注明来自丁香园
We begin our discussion of airway management this week.
1. The larynx is innervated by what two branches of the vagus nerve?
2. The superior laryngeal nerve divides into what two branches?
3. What is the sensory innervation of the larynx?
4. The external laryngeal nerve innervates what muscles?
5. The recurrent laryngeal nerve innervates what muscles of the larynx?
6. The only tensor muscle of the larynx is the ____?
7. Bilateral recurrent laryngeal nerve injury may result in ____?
8. Unilateral recurrent laryngeal nerve injury may result in ____?
1. 喉的迷走神经支配为哪两支？
2. 喉上神经分为哪两支？
3. 喉的感觉支配神经是什么？
4. 喉上神经外侧支支配什么肌肉？
5. 喉返神经支配什么肌肉？
6. 喉部唯一的张力肌肉是什么？
7. 双侧喉返神经损伤可导致什么症状？
8. 单侧喉返神经损伤可导致什么症状？
1. 喉的迷走神经支配为哪两支？
喉上神经和喉返神经。
2. 喉上神经分为哪两支？
喉上神经分为内外两支。
3. 喉的感觉支配神经是什么？
会厌、杓状软骨、声门感觉支配神经为喉上神经；声门下感觉神经支配为喉返神经，气管也接受喉返神经支配。
4. 喉上神经外侧支支配什么肌肉？
喉上神经外侧支为运动神经，支配环甲肌和部分杓横肌。
5. 喉返神经支配什么肌肉？
喉返神经支配除环甲肌和部分杓横肌外的所有喉部肌肉。
6. 喉部唯一的张力肌肉是什么？
环甲肌。
7. 双侧喉返神经损伤可导致什么症状？
可出现除环甲肌和部分杓横肌外的所有喉部肌肉瘫痪，因为声门关闭可出现呼吸道梗阻。
8. 单侧喉返神经损伤可导致什么症状？
可导致一侧声带居中，导致声音嘶哑，误吸风险增加。
The larynx is innervated by which two branches of the vagus nerve?
The Superior Laryngeal Nerve (SLN) and the Recurrent Laryngeal Nerve (RLN) are two branches of the vagus nerve that innervate the larynx.
The Superior Laryngeal Nerve divides into what two branches?
The Superior Laryngeal Nerve (SLN) divides into the Internal Laryngeal Nerve and the External Laryngeal Nerve.
What is the sensory innervation of the larynx?
The sensory innervaton of the larynx from the epiglottis and arytenoids through the vocal cords is via the SLN. The sensory innervation in the larynx below the vocal cords is via the RLN. The trachea also receives sensory innervation via the RLN.
The external laryngeal nerve innervates what muscles?
The External Laryngeal Nerve is a motor nerve, innervating the cricothyroid muscle and part of the transverse arytenoid muscle.
The recurrent laryngeal nerve innervates what muscles of the larynx?
The Recurrent Laryngeal Nerve innervates all the muscles of the larynx except the cricothryroid muscle and part of the transverse arytenoid muscle.
The only tensor muscle of the larynx is the ____?
The Cricothyroid muscle is the only tensor muscle of the larynx.
Bilateral recurrent laryngeal nerve injury may result in ____?
Bilateral recurrent laryngeal nerve injury may result in paralysis of all of the intrinsic muscles of the larynx, except the cricothyroid muscle and part of the transverse arytenoid muscle (which are supplied by the external laryngeal nerve). This may cause respiratory obstruction as the vocal cords become approximated midline.
Unilateral recurrent laryngeal nerve injury may result in ____?
Unilateral recurrent laryngeal nerve injury may result in one vocal cord in the midline position. This can result in hoarseness and an increased risk of aspiration.
References:
1. Feinstein R, Owens WD. Anesthesia for ear, nose, and throat surgery. In: Barash PG, Cullen BF, Stoelting RK, editors. Clinical Anesthesia. 2nd ed. Philadelphia: J B Lippincott Company; 1992:1113-5
编辑：西门吹血
作者: 西门吹血
| 以下网友留言只代表网友个人观点，不代表网站观点 | |||
Copyright 2000-2025 DXY.CN All Rights Reserved