囊性纤维化和肺功能不全患者的临床管理

Clinical management of patients with cystic fibrosis and pulmonary insufficiency.

作者信息

Valenzuela G J, Comunale F L, Davidson B H, Dooley R R, Foster T C

机构信息

Department of Obstetrics and Gynecology, San Bernardino County Medical Center, CA 92404.

出版信息

Am J Obstet Gynecol. 1988 Nov;159(5):1181-3. doi: 10.1016/0002-9378(88)90441-3.

DOI:10.1016/0002-9378(88)90441-3

PMID:3056003

Abstract

Management of a patient with cystic fibrosis who started her pregnancy in a state of pulmonary insufficiency, as defined by arterial blood gas values and a chest x-ray film, is described. A systematic approach to evaluation of patients with cystic fibrosis, including serial assessments of pulmonary functions, screening for diabetes, maintenance of adequate nutrition (including hyperalimentation), and cardiac function evaluation is described.

摘要

本文描述了一名患有囊性纤维化的患者在妊娠初期因动脉血气值和胸部X光片显示存在肺功能不全的情况下的管理情况。文中还介绍了一种对囊性纤维化患者进行评估的系统方法，包括对肺功能的系列评估、糖尿病筛查、维持充足营养（包括胃肠外营养）以及心功能评估。