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急性一氧化碳中毒对呼吸系统效率的影响。I. 不同中毒程度下肺量计参数的值。

The effect of acute carbon monoxide poisoning on the respiratory system efficiency. I. Values of spirometric parameters in different degrees of poisoning.

作者信息

Kolarzyk E

机构信息

Department of Occupational Medicine, Jagiellonian University School of Medicine, Cracow, Poland.

出版信息

Int J Occup Med Environ Health. 1994;7(3):225-35.

PMID:7842237
Abstract

The examination of 91 patients, performed as soon as possible after CO poisoning, revealed that the values of ventilatory parameters obtained from the flow-volume loop recorded by a computer-aided spirometer were significantly lower then those after treatment. Ventilatory efficiency closely related with the degree of poisoning, was assessed according to age, COHb concentration, blood lactate level, and neurological symptoms. Ventilatory parameters in 48 persons with medium and acute poisoning were significantly lower than in the group of slightly poisoned patients. The strong relationship between the major spirometric parameters, blood lactate level and duration of exposure to carbon monoxide was noted. However, the correlation between ventilatory parameters and the degree of poisoning taken as a total of all mentioned parameters was strongest.

摘要

对91例一氧化碳中毒患者在中毒后尽快进行的检查显示,通过计算机辅助肺活量计记录的流量-容积环获得的通气参数值明显低于治疗后的数值。根据年龄、碳氧血红蛋白浓度、血乳酸水平和神经症状评估与中毒程度密切相关的通气效率。48例中度和急性中毒患者的通气参数明显低于轻度中毒患者组。观察到主要肺量计参数、血乳酸水平与一氧化碳暴露时间之间存在密切关系。然而,通气参数与作为所有上述参数总和的中毒程度之间的相关性最强。

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