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[对吸氧的适应]

[Adaptation to oxygen breathing].

作者信息

Patarinski D

出版信息

Vutr Boles. 1976 Dec;15(6):36-41.

PMID:13537
Abstract

Controlled, dosed, uninterrupted and continuous oxygen treatment was applied in 63 patients with global respiratory insufficiency, through a nasopharyngeal catheter in concentrations to 30 per cent. PaO2, is elevated with and average of 12 mm mercury column after 30 minutes 25% oxygen breathing and PaCO2--at an average of 8 mm mercury column. PaO2 level was kept after 24 hours whereas PaCO2 decreased at an average of 4 mm mercury column. Besides, respiration and pulse rate are decelerated, secondary polyglobulia decreases, cardiac and renal function is improved. Those changes are interpreted as patients' adaptation to oxygen breathing. The adaptation to oxygen breathing decreases the danger of critical intensification of the respiratory depression in the course of the treatment and conditions for a successful application of O2 treatment at home are created.

摘要

对63例全肺呼吸功能不全患者采用可控、定量、不间断、持续的氧气疗法,通过鼻咽导管给予浓度达30%的氧气。吸氧25% 30分钟后,动脉血氧分压(PaO2)平均升高12毫米汞柱,动脉血二氧化碳分压(PaCO2)平均升高8毫米汞柱。24小时后,PaO2水平维持不变,而PaCO2平均下降4毫米汞柱。此外,呼吸和脉搏频率减慢,继发性红细胞增多症减轻,心肾功能改善。这些变化被认为是患者对吸氧的适应。对吸氧的适应降低了治疗过程中呼吸抑制严重加剧的风险,并为在家中成功应用氧气疗法创造了条件。

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