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[高压氧疗在纠正缺血性中风中枢性呼吸障碍中的潜力]

[Potentials of hyperbaric oxygenation in correcting central respiratory disorders in ischemic stroke].

作者信息

Isakov Iu V, Krylova I V, Ioffe Iu S

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1979 May-Jun(3):22-8.

PMID:463432
Abstract

Changes in central respiratory disorders under the effect of hyperbaric oxygenation (HBO) were studied in 29 patients in the acute stage of ischemic stroke. Spirography, tetrapolar rheography, and examination of the blood gas composition were carried out. Before HBO was begun, various disorders of the respiratory function were found (hyperventilation syndrome, periodical rhythms: Cheyne-Stokes respiration, alternating respiration, etc.). It was revealed that HBO session causes a normalizing effect on the respiratory function in central disorders of respiration: the Cheyne-Stokes rhythm was replaced at the end of the session by wave-like respiration which is biologically more adequate, the regimen of hyperventilation changed to normoventilation, etc. There was parallel improvement in the indices of central hemodynamics and the blood gas composition.

摘要

对29例缺血性中风急性期患者进行了高压氧治疗(HBO)对中枢性呼吸障碍影响的研究。进行了肺功能描记法、四极血流图检查和血气成分检测。在开始高压氧治疗前,发现了各种呼吸功能障碍(换气过度综合征、周期性节律:潮式呼吸、交替呼吸等)。结果表明,高压氧治疗对中枢性呼吸障碍的呼吸功能具有归一化作用:治疗结束时,潮式呼吸节律被生物学上更合适的波浪式呼吸所取代,换气过度状态转变为正常换气等。同时,中枢血流动力学指标和血气成分也有改善。

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