对妊娠的呼吸反应。
The respiratory response to pregnancy.
作者信息
Milne J A
出版信息
Postgrad Med J. 1979 May;55(643):318-24. doi: 10.1136/pgmj.55.643.318.
Abstract
The respiratory response to pregnancy appears to be largely mediated by the action of progesterone and, perhaps to a lesser extent, oestrogens, at least in the first and second trimesters. The mechanical effects of the gravid uterus cause relatively little change in pulmonary mechanics, although finer changes in airways function require further investigation. Dyspnoea during pregnancy is also probably hormone-mediated but the exact temporal relationship between hormone status, functional change and the development of symptoms is not yet clearly defined.
摘要
妊娠期间的呼吸反应似乎很大程度上是由孕酮的作用介导的，在妊娠前三个月和第二个三个月，雌激素的作用可能较小。妊娠子宫的机械作用对肺力学的影响相对较小，尽管气道功能的细微变化需要进一步研究。孕期呼吸困难也可能是由激素介导的，但激素状态、功能变化和症状发展之间的确切时间关系尚未明确界定。
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本文引用的文献
1
EFFECT OF ALTERATIONS IN END-TIDAL CO2 TENSION ON FLOW RESISTANCE.呼气末二氧化碳分压改变对血流阻力的影响
J Appl Physiol. 1964 Jul;19:745-9. doi: 10.1152/jappl.1964.19.4.745.
2
3
EFFECTS OF INTRAVENOUS ESTROGENS ON PULMONARY DIFFUSING CAPACITY.静脉注射雌激素对肺扩散容量的影响。
Am J Med Sci. 1963 Jul;246:48-52. doi: 10.1097/00000441-196307000-00006.
4
The effect of progesterone on the respiration of patients with emphysema and hypercapnia.孕酮对肺气肿和高碳酸血症患者呼吸的影响。
J Clin Invest. 1960 Jan;39(1):34-41. doi: 10.1172/JCI104024.
5
The relationship between airway resistance, airway conductance and lung volume in subjects of different age and body size.不同年龄和体型受试者气道阻力、气道传导率与肺容积之间的关系。
J Clin Invest. 1958 Sep;37(9):1279-85. doi: 10.1172/JCI103715.
6
A standardized breath holding technique for the clinical measurement of the diffusing capacity of the lung for carbon monoxide.一种用于临床测量肺一氧化碳弥散能力的标准化屏气技术。
J Clin Invest. 1957 Jan;36(1 Part 1):1-17. doi: 10.1172/JCI103402.
7
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Fertil Steril. 1953 Jul-Aug;4(4):300-17. doi: 10.1016/s0015-0282(16)31327-9.
8
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Am J Med Sci. 1966 Sep;252(3):270-6. doi: 10.1097/00000441-196609000-00004.
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