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神经源性呼吸衰竭

Neurogenic respiratory failure.

作者信息

Hind Charles R K

机构信息

Liverpool Heart and Chest Hospital, Liverpool, UK.

出版信息

Handb Clin Neurol. 2013;110:295-302. doi: 10.1016/B978-0-444-52901-5.00024-1.

Abstract

It is uncommon for the lungs to be primarily involved in neurological conditions but severe respiratory problems can arise indirectly. These are usually the result of disorders of central ventilatory control, respiratory muscle weakness, or bulbar involvement. The effects of those disorders can be predicted by an understanding of the nervous control mechanisms and mechanical factors that determine effective ventilation. Awareness of these potential complications, and the increased availability of more advanced diagnostic and monitoring techniques in everyday clinical practice, has resulted in the introduction of specific treatments to try to reduce consequent morbidity and mortality.

摘要

肺部主要受累于神经系统疾病的情况并不常见,但严重的呼吸问题可能会间接出现。这些问题通常是中枢通气控制障碍、呼吸肌无力或延髓受累的结果。通过了解决定有效通气的神经控制机制和机械因素,可以预测这些疾病的影响。由于认识到这些潜在并发症,以及在日常临床实践中更先进的诊断和监测技术越来越容易获得,因此引入了特定的治疗方法,试图降低随之而来的发病率和死亡率。

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