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[心肌梗死患者亚急性期的通气与血气指标]

[Ventilation and blood gas indices in myocardial infarct patients in the subacute stage].

作者信息

Petrov D

出版信息

Vutr Boles. 1984;23(3):99-103.

PMID:6464439
Abstract

Some indices of ventilation and blood gases were studied in 36 patients. VC, TPC were established to be reduced but RV, RV/TPC, FEV1 were increased, moderate hyperventilation, disturbed steady alveolar ventilation and moderate hypoxemia. Those changes are associated with the post-capillary alveolar hypertension and the interstitial lund changes, preconditioned by it as a result of latent cardiac insufficiency of left ventricle and the following disorder of intrapulmonary circulation. The latent cardiogenic respiratory insufficiency in the patients with clinically non-complicated course of myocardial infarction, subacute stage, is of principle importance. It is, first of all, determined by the debatable problem of the necessity of cardiotonic treatment with cardiac glycosides, of the term of motor regime and necessity of respiratory exercises.

摘要

对36例患者的一些通气和血气指标进行了研究。结果发现肺活量(VC)、总肺容量(TPC)降低,而残气量(RV)、残气量/总肺容量(RV/TPC)、第一秒用力呼气容积(FEV1)增加,存在中度通气过度、肺泡通气稳定状态紊乱及中度低氧血症。这些变化与毛细血管后肺泡高压及肺间质改变有关,而这是由左心室潜在心功能不全及随后的肺内循环紊乱预先导致的。在心肌梗死亚急性期临床过程无并发症的患者中,潜在的心源性呼吸功能不全具有重要意义。这首先取决于关于使用强心苷进行强心治疗的必要性、运动方案期限及呼吸锻炼必要性这一有争议的问题。

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