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[切尔诺贝利原子能发电站事故善后清理参与者的呼吸和血液动力学紊乱]

[Respiratory and hemodynamic disorders in the participants in the cleanup of the aftermath of the accident at the Chernobyl Atomic Electric Power Station].

作者信息

Pashkova T L, Aĭzanov Z R, Kalmanova E N, Bichev A A, Maracheva A V, Tatarskiĭ A R

出版信息

Ter Arkh. 1996;68(3):14-6.

PMID:8744094
Abstract

After examination of cardiorespiratory function in 10 males exposed to Chernobyl accident unfavorable factors at the age of 31-45 years suffering from chronic obstructive bronchitis (7 cases) and mixed bronchial asthma (3 cases) it was established that the patients had ventilation disorders of mixed genesis (moderate obstructive and respiratory affections), frequently occurring decreased specific diffusion (DLCO/Va) in normal total diffusion capacity of the lungs, inefficient gas exchange, midly declined left ventricular pump capacity and contractility. In the above patients a relationship was found between parameters of central hemodynamics assessed at echo-CG and severity of ventilation impairment and respiratory insufficiency.

摘要

对10名年龄在31至45岁之间、暴露于切尔诺贝利事故不利因素下、患有慢性阻塞性支气管炎(7例)和混合性支气管哮喘(3例)的男性进行心肺功能检查后发现,这些患者存在混合性通气障碍(中度阻塞性和呼吸性病变),在肺总弥散能力正常的情况下,比弥散量(DLCO/Va)经常降低,气体交换效率低下,左心室泵血能力和收缩力轻度下降。在上述患者中,经超声心动图评估的中心血流动力学参数与通气障碍和呼吸功能不全的严重程度之间存在关联。

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