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[过度通气与气道阻力。过度通气后的支气管痉挛]

[Hyperventilation and airway resistance. Bronchial spasms after hyperventilation].

作者信息

Jaccard R G, Scherrer R, Bühlmann A A

出版信息

Schweiz Med Wochenschr. 1979 Dec 8;109(47):1860-3.

PMID:531564
Abstract

Airway resistance, FEV1.0 and lung volume were measured by body plethysmography before and after voluntary hyperventilation. In normal subjects, resistance increased to 130--140% of the initial value measured before hyperventilation. The same increase was observed in silicosis patients without chronic obstructive bronchitis. Asthmatic patients in an asymptomatic phase showed a rise in airway resistance to an average of 255% of the nearly normal initial values, and also a reduction in FEV1.0. In normal subjects and asthmatic patients, the administration of bronchodilators inhibits the rise in airway resistance induced by hyperventilation. The hyperventilation test can be used to identify increased susceptibility to bronchoconstriction.

摘要

在自主过度通气前后,通过体容积描记法测量气道阻力、第一秒用力呼气容积(FEV1.0)和肺容积。在正常受试者中,阻力增加至过度通气前测量初始值的130% - 140%。在无慢性阻塞性支气管炎的矽肺患者中观察到相同的增加。无症状期的哮喘患者气道阻力增加至接近正常初始值的平均255%,同时FEV1.0降低。在正常受试者和哮喘患者中,给予支气管扩张剂可抑制过度通气引起的气道阻力增加。过度通气试验可用于识别对支气管收缩的易感性增加。

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