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[全身麻醉和人工通气时呼吸力学检查对非特异性呼吸道疾病患者肺功能状况综合评估的意义(作者译)]

[The significance of examination of breathing mechanics during general anaesthesia and artificial ventilation for the complex assessment of functional pulmonary conditions in patients with nonspecific respiratory disease (author's transl)].

作者信息

Joffe L Z, Swetyschewa S A

出版信息

Z Erkr Atmungsorgane. 1981;156(3):218-24.

PMID:7293277
Abstract

The results of mechanical examinations of breathing during bronchoscopy in general anaesthesia with various breathing regimens in 140 patients with chronic nonspecific respiratory diseases are given. The variations of breathing mechanics depend on both the extent of the pulmonary changes and the localization of the obstructive syndrome (large and small bronchi) and they correlate with the clinical severity of the respiratory insufficiency. In comparison with the mechanical examinations of breathing in spontaneous breathing we can find a very good coincidence of the results. The results from 42 patients with expiratory stenosis of the trachea and main bronchi are emphasized. The method mentioned guarantees a reliable judgement of the functional condition of the lungs without an additional annoyance of the patient and also without an essential complication of the bronchoscopic examinations. It makes practical clinical conclusions concerning the treatment and the choice of the suitable anaesthesiologic procedure possible. It has the greatest perspective in the modern pulmonologic hospital.

摘要

给出了140例慢性非特异性呼吸道疾病患者在全身麻醉下采用不同呼吸方案进行支气管镜检查时呼吸力学检查的结果。呼吸力学的变化既取决于肺部病变的程度,也取决于阻塞综合征(大、小支气管)的部位,并且与呼吸功能不全的临床严重程度相关。与自主呼吸时的呼吸力学检查相比,我们发现结果非常吻合。重点介绍了42例气管和主支气管呼气性狭窄患者的检查结果。所提及的方法能够在不给患者带来额外困扰且不引发支气管镜检查严重并发症的情况下,对肺部功能状况做出可靠判断。这使得针对治疗及合适麻醉程序的选择得出切实可行的临床结论成为可能。在现代肺病医院中,它具有极大的应用前景。

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