Krause J
Zentrum Innere Medizin und Dermatologie, Medizinische Hochschule, Hannover.
Pneumologie. 1990 Feb;44 Suppl 1:131-6.
Neuromuscular disorders of varying aetiology frequently lead to respiratory failure. This situation contrasts with the rare application of suitable tests of pulmonary function in this group of patients. As a result, respiratory complications are not detected until they have progressed to a terminal stage. With the sequential measurement of vital capacity, and a determination of the maximum inspiratory and expiratory pressures (PImax and PEmax), we have reliable and practicable diagnostic measures available that permit the recognition of respiratory failure at an early stage. This fact is of particular importance, since the application of modern ventilation techniques in suitable patients can make a substantial contribution towards both improving the patient's quality of life and prolonging it.
病因各异的神经肌肉疾病常常导致呼吸衰竭。这种情况与在这组患者中很少应用合适的肺功能测试形成对比。结果,直到呼吸并发症发展到晚期才被发现。通过连续测量肺活量,并测定最大吸气和呼气压力(PImax和PEmax),我们有了可靠且实用的诊断方法,能够在早期识别呼吸衰竭。这一事实尤为重要,因为在合适的患者中应用现代通气技术对改善患者生活质量和延长寿命都能做出重大贡献。