Hajtman A, Neuschl R, Zucha J, Reznák I
Hals-Nasen-Ohren-Klinik der medizinischen Fakultät UK, Martin.
Laryngol Rhinol Otol (Stuttg). 1988 Feb;67(2):63-5.
Poor patency of the nasal passage has a negative impact on respiration. In 52 patients with increased nasal resistance blood gases and acid-base balance were measured according to the method of Astrup before and after surgical treatment of the upper respiratory organs. We found a significant increase of paO2 (on the average by 0.656 kpa; p less than 0.05) and of the buffer bases. The other parameters did not change to a statistically significant extent. The lower paO2 value in increased nasal resistance is most likely not due to hypoventilation. Altered nasopulmonary and nasothoracis reflexes exercise a negative influence on pulmonary mechanics and the laryngotracheobronchial tonus with subsequent alteration of the intrapulmonary distribution of the inspired air, and on ventilation-perfusion conditions of the lungs.
鼻腔通畅性差会对呼吸产生负面影响。对52例鼻阻力增加的患者,在上呼吸道器官手术治疗前后,按照阿斯特鲁普方法测量了血气和酸碱平衡。我们发现动脉血氧分压(平均升高0.656千帕;P<0.05)和缓冲碱显著增加。其他参数未发生具有统计学意义的变化。鼻阻力增加时较低的动脉血氧分压值很可能不是由于通气不足所致。鼻肺和鼻胸反射改变对肺力学和喉气管支气管张力产生负面影响,进而改变吸入空气在肺内的分布,并影响肺的通气-灌注状况。