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甲状腺疾病治疗前后的肺容量、扩张性及最大呼吸压力

Lung volumes and distensibility, and maximum respiratory pressures in thyroid disease before and after treatment.

作者信息

Freedman S

出版信息

Thorax. 1978 Dec;33(6):785-90. doi: 10.1136/thx.33.6.785.

Abstract

Lung volumes, static pressure volume curves of the lung, and maximum respiratory pressures were measured in six patients with thyrotoxicosis and three with myxoedema before and after treatment. After treatment three of the thyrotoxic patients had increases in vital capacity of the same order as previously reported, but in contrast to previous reports, the lung volume changes were not associated with, nor due to, concomitant changes in respiratory muscle performance. Static pulmonary compliance increased in four of the six patients. The initial findings were more in keeping with the presence of pulmonary congestion. Only one of the myxoedematous patients had any significant increase in vital capacity after treatment, and in her case this was clearly attributable to increased inspiratory muscle force.

摘要

在六名甲状腺毒症患者和三名黏液性水肿患者治疗前后,测量了他们的肺容量、肺静态压力-容量曲线以及最大呼吸压力。治疗后,三名甲状腺毒症患者的肺活量增加,幅度与之前报道的相当,但与之前的报道不同的是,肺容量变化与呼吸肌功能的伴随变化无关,也不是由呼吸肌功能变化引起的。六名患者中有四名患者的肺静态顺应性增加。最初的发现更符合肺充血的情况。三名黏液性水肿患者中只有一名在治疗后肺活量有显著增加,而在她的病例中,这显然归因于吸气肌力的增加。

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本文引用的文献

1
PULMONARY FUNCTION IN HYPERTHYROIDISM.甲状腺功能亢进症中的肺功能
J Clin Invest. 1961 Feb;40(2):348-63. doi: 10.1172/JCI104262.
3
HYPOTHYROIDISM AND ALVEOLAR HYPOVENTILATION.甲状腺功能减退与肺泡低通气
Arch Intern Med. 1965 Mar;115:302-6. doi: 10.1001/archinte.1965.03860150046008.
7
The pulmonary abnormalities in myxedema.黏液性水肿的肺部异常。
J Clin Invest. 1960 Jan;39(1):42-55. doi: 10.1172/JCI104025.

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