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[二氧化碳传导率中通气和循环成分测量的价值]

[Value of the measurement of ventilatory and circulatory components in CO2 ductance].

作者信息

Hohn B, Paramelle F, Paramelle B, Delormas P

出版信息

Poumon Coeur. 1975;31(3):131-8.

PMID:1215265
Abstract

Authors bring forth the results of the determination of CO2 ductances in 28 patients : 14 cases of pulmonary arterial thrombosis, 7 cases of diffuse interstitial fibrosis recognizing various etiologies, 4 cases of endothoracic sarcoidosis and 3 cases of pure restrictive syndrome due to functional amputation of some territories. The global CO2 ductance is lowered in 24 cases. In each one of these cases the PACO2 determination makes possible to decompose the global ductance into a ventilatory ductance and a circulatory ductance. The circulatory ductance is lowered in the case of pulmonary arterial thrombosis; the ventilatory component is lowered in the case of restrictive syndromes and in the case of diffuse interstitial fibrosis. For what concerns the pulmonary arterial thrombosis, authors discuss then the value of the information contained in the expression of the CO2 arterial-alveolar gradient on the one hand, and in the circulatory component of the ductance on the other hand. At last, the determination of the ductances appears interesting in the supervision of the course of various diseases.

摘要

作者公布了28例患者二氧化碳传导率的测定结果:14例肺动脉血栓形成、7例病因各异的弥漫性间质性纤维化、4例胸内结节病和3例因部分区域功能性截断导致的单纯限制性综合征。24例患者的总体二氧化碳传导率降低。在每一例此类病例中,动脉血二氧化碳分压(PACO2)的测定使得将总体传导率分解为通气传导率和循环传导率成为可能。在肺动脉血栓形成的情况下,循环传导率降低;在限制性综合征和弥漫性间质性纤维化的情况下,通气成分降低。关于肺动脉血栓形成,作者随后一方面讨论了动脉-肺泡二氧化碳梯度表达式中所含信息的价值,另一方面讨论了传导率循环成分中所含信息的价值。最后,传导率的测定在各种疾病病程的监测中似乎很有意义。

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