膈神经

报告了58侧成人尸体的臂丛神经与膈神经、胸膜顶、星状神经节的局部位置关系，探讨在施行臂丛神经阻滞时如何避免误伤邻近诸结构。

The topographic relationships of plexus brachialis to nervus phrenicus , cupula pleurae and ganglion stellatum were investigated on 58 sides of adult cadavers , to provide an anatomical basis to avoid injuring the adjacent structures of the plexus .

方法气管插管控制通气，左前外侧第IV肋间进胸，膈神经前纵形切开心包，单手按压。

Methods Control ventilation by endotracheal intubation , open chest at IV intercostals external .

A组大鼠的膈神经放电频率和积分幅度低于B组和C组（P<0.05），B组与C组之间无显著性差异。

Discharge frequency and integrated amplitude of phrenic nerve of group A were decreased compared with group B and group C ( P < 0.05 ) .

结果：大鼠膈神经主干起始部直径为（0.207±0.051）mm。

Results : The proximal part of the main trunk of phrenic nerve was about 0.207 ± 0.051 mm in diameter .

经颈前路显露两侧膈神经干，于C6水平切断。

Expose and transected bilateral phrenic nerve at C 6 level by the cervical anterior approach .

诱发电位（MEP）在诊断膈神经损伤中的临床应用

Motor Evoked Potential ( MEP ) Diagnosis Phrenic Nerve Injury on Clinical Application

目前临床上较多见的CRT并发症包括左室电极脱位、膈神经刺激及囊袋血肿等。

Currently , left ventricular electrode dislocation , phrenic nerve stimulation and pocket hematoma are the most common complications in clinical application .

方法：10只Wistar大鼠，同步记录膈神经、迷走神经放电以及呼吸曲线和心电图。

Methods : 10 Wistar rats were synchronously recorded the discharges of phrenic nerve and vagus nerve , the curve of respiration and the electrocardiogram .

用36只SD大鼠，对膈神经移位，副神经移位经腓肠神经移植种植于肱二头肌治疗臂丛撕脱伤进行比较研究。

Phrenic nerve and accessory nerve transfer as motor neurotization with muscular implantation to biceps by sural nerve bridging was used for treatment of brachial plexus root avulsion .

作者用麻醉家兔34只，切断其神经、改变肺容积、吸入SO2以选择性阻断肺牵张感受器活动等方法，探查迷走神经传入活动对膈神经呼气相放电（ED）的作用。

Experiments to determine the effect of vagal afferent activity on phrenic discharges during the expiratory phase ( ED ) were carried out on 34 anesthetized rabbits .

两组术后并发症（再次开胸止血、新发房颤、肺炎、脑血管意外、伤口愈合不良、膈神经损伤等）发生率无显著差异（P0.05）。

There were no significant differences in re-exploration for bleeding rate , new onset atrial fibrillation , pneumonia , cerebrovascular accident , septic wound of complications , phrenic nerve injury ( P0.05 ) .

B组9例术后膈神经修复侧膈肌均麻痹不动，肺活量及最大呼吸容量为术前的72%～84%及76%～84%；

And in group B , ipsilateral diaphragm paralysis in 9 cases after surgery , whose vital capacity and forced vital capacity had decreased to 72 % - 84 % , 76 % - 84 % of that before the surgery respectively ;

用SephadexG-50凝胶过滤纯化组分；用大鼠体外膈神经-膈肌标本鉴定分离组分对神经-肌肉接头的作用性质；

The fractions were purified by Sephadex G-50 . Neurotoxicity was determined on isolated rat phrenic nerve-diaphragm preparations .

膈神经从锁骨下缘到入肌点的长度为：右侧（16.50±2.17）cm，左侧（23.00±2.50）cm；

The mean lengths of phrenic nerve from the lower edge of clavicle to its enter point of diaphragm were 16.50 ± 2.17 cm on the right side and 23.00 ± 2.50 cm on the left side .

而微量注射甘氨酸则使膈神经放电显著减少和使弓状核诱发电位P2及N2波幅显著增大。

Phrenic nerve discharges were decreased and the amplitude of P2 and N2 waves of arcuatus nucleus evoked potentials were increased by microinjection of glycine into VLNTS .

高频喷射通气（600次min）15min，膈神经动作电位幅度显著增大（P<0.05）。

HFJV with 600 times / min for 15 minutes , the amplitude of action potential of phrenic nerve significantly increased ( P < 0.05 ) .

腹腔镜术后肩痛被认为是吹入的二氧化碳刺激膈神经，导致C4神经牵涉痛。

Post-laparoscopy shoulder pain is thought to result when carbon dioxide , used for insufflation , irritates the phrenic nerve , leading to referred pain at C4 .

方法：对13例肺功能正常者和7例慢性阻塞性肺疾病（COPD）患者用经皮电刺激双侧膈神经法测定PNCT。

Methods : Phrenic nerve conduction time was measured by percutaneous electrical stimulation of phrenic nerves in 13 normal subjects and 7 COPD patients .

目的：初步研究慢性阻塞性肺病患者（COPD）肺功能及膈神经传导（PNC），并探讨二者之间的关系。

Objectives : To explore the relation between the lung function and the phrenic motor nerve conduction ( PNC ) in patients with chronic obstructive pulmonary disease ( COPD ) .

停止常频机械通气15min，膈神经动作电位的持续时间显著缩短（P<0.05）。

The persistent time of action potential of phrenic nerve significantly decreased ( P < 0.05 ) at 15 minutes after the CMV stopped .

副神经锁骨下水平发出内、外侧支之前其直径为（0.216±0.027）mm，与膈神经主干起始端的距离为（-1.416±0.216）mm。

The length of infraclavicular section of the accessory nerve was about ( 0.216 ± 0.027 ) mm before giving off medial and lateral branches horizontally . Its distance from the proximal part of main trunk of the phrenic nerve was about - 1.416 ± 0.216 mm .

肋间肌腺苷酸能荷（AEC）以膈神经离断后1个月为最低，与离断前组和离断后2月组相比，均有统计学差别（P0.05）。

Also at 1 month after the operation , the content of adenylate energy charge ( AEC ) was the lowest , with statistically significant difference from the measurements before and 2 months after the operation ( P0.05 ) .

目的：初步探讨膈神经传导（PNC）及膈运动诱发电位（MEP）对评价各种呼吸功能障碍的价值。

Objectives : To explore preliminarily the significance of phrenic nerve conduction ( PNC ) and diaphragmatic motor evoked potentials ( MEP ) in the evaluation on various respiratory dysfunctions ( RDFs ) .

膈神经起点至锁骨下静脉上缘平面及至环甲关节的距离平均（x±s）分别为（72±16）cm及（55±14）cm，两者相差至少15cm。

The distance from the root of PN to the level of the subclavian vein and to cricothyroid joint were ( 7.2 ± 1.6 ) cm and ( 5.5 ± 1.4 ) cm , respectively . The former was at least 1.5 cm longer than the latter .

目的研究膈神经生物电脉冲（bioelectricalimpulseofphrenicnerve，BIPN）在周围神经再生过程中的作用。

Objective To study the effect of bioelectric impulse of phrenic nerve ( BIPN ) on peripheral nerve regeneration .

在面神经核背内侧区（dMNF）细胞外记录呼吸神经元（RNs）放电，以记录膈神经放电作为呼吸的指标。

Discharges of phrenic nerve were monitored . Discharge patterns of the respiratory neurons ( RNs ) in the dorsal medial area of nucleus facialis ( dMNF ) were recorded and analyzed .

手术步骤：一期手术，膈神经移位至臂丛上干前股，副神经移位至肩胛上神经；健侧C7神经移位至患侧尺神经；

One stage surgical procedure was that the contralateral C_7 never root was transferred to the ulnar nerve , the phrenic nerve to the anterior division of upper trunci plexus brachialis and the accessory nerve to the suprascapular nerve .

目的：探讨用经皮电刺激双侧膈神经法测定膈神经传导时间（PNCT）的正常值及其影响因素。

Ve : To measure the normal value of the phrenic nerve conduction time ( PNCT ) by percutaneous electrical stimulation of phrenic nerves and to investigate the interfering factors .

方法运用1根具有5个记录导联的新型多导食道电极记录由电和磁刺激膈神经诱发的膈肌CMAP。10名正常人和10例因各种原因在ICU病房治疗的患者被纳入研究。

Methods Ten normal subjects and 10 patients in ICU were studied . A newly designed multipair esophageal catheter with 5 pairs of electrodes was used to record the diaphragm CMAP elicited by magnetic stimulation and transcutaneous electrical stimulation of the phrenic nerve .

本实验用家兔18只，动物麻醉后分离双侧膈神经，用30Hz的方波（0.2ms，10V）持续刺激膈神经致伤复制膈肌疲劳，分别测量伤前及伤后30min，60min。

Experiments were performed on spontaneously breathing rabbits anesthetized with urethan . The diaphragmatic fatigue ( DiF ) was reproduced by the phrenic nerve stimulation ( 30 Hz , 10 V , 0 . 2 ms ) .