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重复呼吸试验在阻塞性肺疾病中的临床价值。

Clinical value of rebreathing test in obstructive lung diseases.

作者信息

Marazzini L, Galli G, Longhini E

出版信息

Respiration. 1976;33(3):219-30. doi: 10.1159/000193736.

Abstract

The ventilatory response to CO2 inhalation, using rebreathing method, was studied in normal subjects and in patients with bronchial asthma and chronic obstructive lung disease. The patients with lung disease had flatter CO2 response curves. However, it the ventilation was expressed as a fraction of the maximal voluntary ventilation, the difference between normal subjects and patients disappeared. The reduced ventilatory response of these patients may be of mechanical origin and not depending on reduced CO2 sensitivity. The high lung volume of these patients may be the mean factor of the mechanical disadvantage of thoracomuscular system.

摘要

采用重复呼吸法,对正常受试者、支气管哮喘患者和慢性阻塞性肺疾病患者吸入二氧化碳后的通气反应进行了研究。肺部疾病患者的二氧化碳反应曲线较为平坦。然而,如果将通气量表示为最大自主通气量的一部分,正常受试者与患者之间的差异就消失了。这些患者通气反应降低可能源于机械因素,而非取决于二氧化碳敏感性降低。这些患者的高肺容量可能是胸肌系统机械劣势的主要因素。

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