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经口气管插管、气管切开插管与正常鼻腔气道阻力的比较(作者译)

[A comparison of airway resistance in oral-endotracheal tubes, tracheotomy tubes and in normal noses (author's transl)].

作者信息

Enzmann H, Rieben F W

出版信息

Arch Otorhinolaryngol. 1980;226(1-2):115-22.

PMID:7469918
Abstract

Not only a decrease, but also an increase of airway resistance by spontaneous regulation in the larynx, nose, or mouth will improve lung function in some diseases. Therefore, pressure and airflow in oral-endotracheal tubes, tracheotomy tubes and in normal noses are analysed. Double-logarithmic divided diagrams, valid for the comparison of laminar, turbulent and unstable turbulent-laminar flows, are used. The airway resistance and therefore the work of breathing generally is lowered after tracheotomy, increased after intubation, if the tubes are not of unusual size. The possible influence of these test results toward the indication (tracheotomy or intubation) is discussed.

摘要

不仅气道阻力降低,而且通过喉部、鼻腔或口腔的自主调节使其增加,在某些疾病中也会改善肺功能。因此,对口腔气管插管、气管切开插管和正常鼻腔中的压力和气流进行了分析。采用双对数分度图,可有效比较层流、湍流和不稳定湍流-层流。气管切开术后气道阻力及呼吸功通常会降低,插管后(如果插管尺寸正常)气道阻力及呼吸功会增加。讨论了这些测试结果对气管切开或插管指征的可能影响。

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