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[肺源性慢性呼吸功能不全的治疗。临床思考]

[Treatment of chronic respiratory insufficiency of pulmonary origin. Clinical considerations].

作者信息

Petraglia A, Cecere L, Scarpitta M, Ansalone D

出版信息

Minerva Med. 1979 Jan 31;70(5):405-11.

PMID:35769
Abstract

The key-points of the physiopathological treatment of chronic pneumogenous respiratory insufficiency are: correction of distribution defects, suitable local adjustment of the ventilation: perfusion ratio, and correction of obstacles to alveolocapillary diffusion. Many drugs can be used to obtain these results; bronchodilators, vasoactive drugs, cortisones, cardiokinetics, antibiotics, analeptics. Reference is also made to oxygen therapy, depletion management (bloodletting and-or diuretics, and their possible mechanisms. Lastly, attention is given to disturbances, in acid-base equilibrium in chronic respiratory insufficiency and their correction.

摘要

慢性肺源性呼吸功能不全病理生理治疗的要点是

纠正分布缺陷,对通气与灌注比例进行适当的局部调整,以及纠正肺泡-毛细血管扩散障碍。可使用多种药物来达到这些效果;支气管扩张剂、血管活性药物、皮质激素、强心药、抗生素、兴奋剂。文中还提及了氧疗、排液处理(放血和/或使用利尿剂)及其可能的机制。最后,关注慢性呼吸功能不全时的酸碱平衡紊乱及其纠正。

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