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[慢性支气管炎和肺气肿中的气体交换与酸碱平衡]

[Gas exchange and acid-base equilibrium in chronic bronchitis and in emphysema].

作者信息

Bonsignore G, Rizzo A, Bellia V, Ferrara G, Sciarabba G, Moceo M C

出版信息

Minerva Med. 1976 Dec 29;67(63):4153-66.

PMID:1018809
Abstract

Blood gas data for HbO2% and PaCO2 and determination of acid-base balance enable the biochemical features of bronchial obstruction to be related to primarily "intrinsic" or "extrinsic" factors. Long-term gas studies and ventilation mechanics data (lung elastic recoil pressure, maximum expiratory flow at different volumes and the corresponding recoil pressures) are also of assistance in this respect. Each type of bronchial obstruction thus has its own peculiarities, and these are also reflected in the level of metabolic compensation for respiratory acidosis.

摘要

关于血红蛋白氧饱和度(HbO2%)和动脉血二氧化碳分压(PaCO2)的血气数据以及酸碱平衡的测定,能够使支气管阻塞的生化特征与主要的“内在”或“外在”因素相关联。长期的气体研究和通气力学数据(肺弹性回缩压、不同肺容积时的最大呼气流量及相应的回缩压)在这方面也有帮助。因此,每种类型的支气管阻塞都有其自身特点,这些特点也反映在呼吸性酸中毒的代谢代偿水平上。

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