Betlejewski S, Janicka-Beuth L, Beuth W
Department of Otolaryngology, Medical University, ul. M. Curie-Sklodowskiej 9, 85-094 Bydgoszcz, Poland.
Med Sci Monit. 2000 Jan-Feb;6(1):81-3.
The aim of the study was to define respiratory disorders caused by central nervous system tumors. We investigated 51 patients (31 men, 20 women, mean age 58). They were divided into the following groups: patients with supra-, infratentorial and cranio-vertebral junction lesions. We analyzed: the localization of tumors based on CT and MRI examinations and intraoperative observation, the status of consciousness by GCS scale, neurological status and histological findings. For the estimation of dynamics of the respiratory changes, rhinospirography examination was repeated several times in the course of observation. The alterations of respiration were clearly visible in many cases. We have confirmed that respiratory disorders found by rhinospirography provide a source of important clinical information on the effect of the treatment and prognosis. We have also confirmed that changes in respiration are observed earlier than changes of consciousness.
该研究的目的是确定由中枢神经系统肿瘤引起的呼吸障碍。我们调查了51例患者（31名男性，20名女性，平均年龄58岁）。他们被分为以下几组：幕上、幕下及颅颈交界区病变患者。我们分析了：基于CT和MRI检查及术中观察的肿瘤定位、格拉斯哥昏迷量表（GCS）评估的意识状态、神经状态和组织学结果。为评估呼吸变化的动态情况，在观察过程中多次重复进行鼻呼吸描记术检查。在许多病例中，呼吸改变清晰可见。我们证实，通过鼻呼吸描记术发现的呼吸障碍为治疗效果和预后提供了重要的临床信息来源。我们还证实，呼吸变化比意识变化更早被观察到。
