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充血性心力衰竭中的潮式呼吸。

Cheyne-Stokes respiration in congestive heart failure.

作者信息

Lieber C, Mohsenin V

机构信息

Department of Internal Medicine, Waterbury Hospital, Connecticut.

出版信息

Yale J Biol Med. 1992 Jan-Feb;65(1):39-50.

PMID:1509783
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2589377/
Abstract

Cheyne-Stokes respiration is an abnormal breathing pattern which commonly occurs in patients with decompensated congestive heart failure and neurologic diseases, in whom periods of tachypnea and hyperpnea alternate with periods of apnea. In the majority of these patients, the ventilatory patterns may not be recognized, and the clinical features are generally dominated by the underlying disease process. Cheyne-Stokes respiration may, however, have profound effects on the cardiopulmonary system, causing oxygen desaturation, cardiac arrhythmias, and changes in mental status. Treatment of Cheyne-Stokes respiration in congestive heart failure with supplemental oxygen or nasal continuous positive airway pressure, in addition to conventional therapy, may improve the overall cardiac function and perhaps the patient's prognosis.

摘要

潮式呼吸是一种异常呼吸模式,常见于失代偿性充血性心力衰竭和神经系统疾病患者,其呼吸急促和呼吸过速期与呼吸暂停期交替出现。在这些患者中的大多数,通气模式可能未被识别,临床特征通常由潜在的疾病过程主导。然而,潮式呼吸可能对心肺系统产生深远影响,导致氧饱和度降低、心律失常和精神状态改变。除传统治疗外,用补充氧气或经鼻持续气道正压通气治疗充血性心力衰竭中的潮式呼吸,可能会改善整体心脏功能,或许还能改善患者的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ec/2589377/880afba551cb/yjbm00049-0045-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ec/2589377/880afba551cb/yjbm00049-0045-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ec/2589377/880afba551cb/yjbm00049-0045-a.jpg

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1
Cheyne-Stokes respiration in congestive heart failure.充血性心力衰竭中的潮式呼吸。
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2
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[Therapy of Cheyne-Stokes respiration with nocturnal oxygen therapy].夜间氧疗治疗陈-施呼吸
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[Cardiac efficiency in patients with Cheyne-Stokes respiration as a result of heart insufficiency during long-term nasal respiratory treatment with adaptive servo ventilation (AutoSet CS)].[长期采用适应性伺服通气(AutoSet CS)进行鼻腔呼吸治疗时,因心力衰竭导致出现陈-施呼吸的患者的心脏效率]
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10
[Cheyne-Stokes respiration in chronic heart insufficiency].[慢性心力衰竭中的潮式呼吸]
Schweiz Med Wochenschr. 1977 Jun 11;107(23):802-7.

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Is Mixed Apnea Associated with Non-Rapid Eye Movement Sleep a Reversible Compensatory Sign of Heart Failure?与非快速眼动睡眠相关的混合性呼吸暂停是心力衰竭的一种可逆性代偿征象吗?
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本文引用的文献

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The effect of theophylline with ethylenediamine (aminophylline) on cerebral hemodynamics in the presence of cardiac failure with and without Cheyne-Stokes respiration.氨茶碱对伴有和不伴有陈-施呼吸的心力衰竭患者脑血流动力学的影响。
J Clin Invest. 1952 Mar;31(3):267-72. doi: 10.1172/JCI102602.
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Basic oscillating mechanism of Cheyne-Stokes breathing.陈-施呼吸的基本振荡机制。
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Respiration during sleep in the aged human.老年人睡眠期间的呼吸
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Respiratory dysrhythmias during sleep.
N Engl J Med. 1981 Aug 6;305(6):325-30. doi: 10.1056/NEJM198108063050606.
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Interaction of sleep state and chemical stimuli in sustaining rhythmic ventilation.睡眠状态与化学刺激在维持节律性通气中的相互作用。
J Appl Physiol Respir Environ Exerc Physiol. 1983 Sep;55(3):813-22. doi: 10.1152/jappl.1983.55.3.813.
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Sleep apnea and its causes.睡眠呼吸暂停及其病因。
J Clin Invest. 1984 Jun;73(6):1501-6. doi: 10.1172/JCI111355.
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Effect of aminophylline on respiratory-center sensitivity in Cheynestokes respiration and in pulmonary emphysema.氨茶碱对陈施呼吸及肺气肿患者呼吸中枢敏感性的影响。
N Engl J Med. 1965 Dec 30;273(27):1447-53. doi: 10.1056/NEJM196512302732702.
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Periodic breathing and apnea in preterm infants. I. Evidence for hypoventilation possibly due to central respiratory depression.早产儿的周期性呼吸和呼吸暂停。I. 可能由于中枢性呼吸抑制导致通气不足的证据。
Pediatrics. 1972 Aug;50(2):202-18.