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囊性纤维化患者全身麻醉后肺功能的恶化。

Deterioration in lung function after general anaesthesia in patients with cystic fibrosis.

作者信息

Richardson V F, Robertson C F, Mowat A P, Howard E R, Price J F

出版信息

Acta Paediatr Scand. 1984 Jan;73(1):75-9. doi: 10.1111/j.1651-2227.1984.tb09901.x.

Abstract

48 hours after oesophagoscopy and injection sclerotherapy of oesophageal varices under general anaesthesia, 11 studies of 6 children with cystic fibrosis and portal hypertension showed a significant deterioration in 4 tests of lung function. The largest falls were seen in Forced Expiration Volume in one second (p less than 0.01) and Forced Expiratory Flow between 25% and 75% of Vital Capacity (p less than 0.02). In 14 studies of 10 children with portal hypertension from other causes a significant fall occurred only in Peak Expiratory Flow Rate (p less than 0.01). The slight falls in Forced Expiratory Volume in one second and Forced Expiratory Flow between 25% and 75% of vital capacity were significantly smaller than those observed in the patients with cystic fibrosis (p less than 0.05; p less than 0.01).

摘要

在全身麻醉下进行食管静脉曲张内镜检查和注射硬化治疗48小时后,对6名患有囊性纤维化和门静脉高压的儿童进行的11项研究显示,4项肺功能测试结果显著恶化。一秒用力呼气量下降幅度最大(p小于0.01),肺活量25%至75%之间的用力呼气流量下降幅度最大(p小于0.02)。在对10名因其他原因患有门静脉高压的儿童进行的14项研究中,仅呼气峰值流速出现显著下降(p小于0.01)。一秒用力呼气量和肺活量25%至75%之间的用力呼气流量的轻微下降明显小于囊性纤维化患者的下降幅度(p小于0.05;p小于0.01)。

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