Ford G T, Rosenal T W, Clergue F, Whitelaw W A
Division of Respiratory Medicine, University of Calgary, Alberta, Canada.
Clin Chest Med. 1993 Jun;14(2):237-52.
This article describes the pathophysiology of the respiratory system after upper abdominal surgery, emphasizing the role of respiratory muscle dysfunction. The history of current techniques to measure respiratory muscle function are reviewed. The authors describe the postoperative pattern of breathing, speculate on the physiologic mechanisms responsible and discuss the data supporting the role of reflexes arising from the abdomen and the shift of neural output to different respiratory muscles. Finally, the authors review the impact of "closed" surgical interventions such as laparoscopic cholecystectomy.
本文描述了上腹部手术后呼吸系统的病理生理学，重点强调呼吸肌功能障碍的作用。回顾了目前测量呼吸肌功能技术的发展历程。作者描述了术后呼吸模式，推测其生理机制，并讨论了支持来自腹部的反射作用以及神经输出向不同呼吸肌转移的数据。最后，作者回顾了“封闭”手术干预（如腹腔镜胆囊切除术）的影响。
