Popova L M, Avdiunina I A, Alferova V P, Piradov M A, Pavlov E V, Plekhanova S A
Anesteziol Reanimatol. 1996 Mar-Apr(2):9-13.
Twenty-five adult patients with grave diphtheric polyneuropathy after toxic diphtheria were followed up. Two symptom complexes of neurologic disorders leading to the development of peripheral respiratory failure of different severity were distinguished: 1) predominating glossopharyngeal paralysis and 2) combination of glossopharyngeal paralysis with grave generalized sensorimotor polyneuropathy (with pareses and paralyses of the respiratory muscles). The major quantitative parameters of pulmonary functions associated with various manifestations of respiratory failure are characterized. The significance of information on the type of dysfunction of vocal cords is emphasized. A high efficacy of a complex of respiratory reanimation used in the treatment of patients with peripheral respiratory failure is demonstrated.
对25例中毒性白喉后发生严重白喉性多发性神经病的成年患者进行了随访。区分出两种导致不同严重程度的周围性呼吸衰竭的神经系统症状复合体：1）以舌咽麻痹为主；2）舌咽麻痹与严重的全身性感觉运动性多发性神经病（伴有呼吸肌无力和麻痹）相结合。对与呼吸衰竭各种表现相关的肺功能主要定量参数进行了描述。强调了关于声带功能障碍类型信息的重要性。证明了用于治疗周围性呼吸衰竭患者的综合呼吸复苏措施具有很高的疗效。
