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慢性肺限制性疾病运动期间的通气和心肺反应(作者译)

[Ventilatory and cardio-respiratory responses during exercise in chronic pulmonary restrictive disease (author's transl)].

作者信息

Gimenez M, Uffholtz H, Schrijen F

出版信息

Bull Eur Physiopathol Respir. 1977 May-Jun;13(3):355-67.

PMID:880397
Abstract

Cardio-respiratory changes were studied during light exercise (20 or 40 W) in 45 patients with diminished vital total lung capacity. Diagnosis was : fibrosis (8 subjects, group I), lobectomy (7 subjects, group II), pachypleuritis (11 subjects, group III), thoracoplasty (7 subjects, group IV) and kyphoscoliosis (12 subjects, group V). Changes during exercise were characterized by : an increase in breathing rate much more marked than normally, with a lesser increase in tidal volume, so that ventilatory equivalent was steady, and below 30 except in group I; an increase in PaCO2, even in group I which was hypocapnic at rest, very marked in groups III and V, with worsening of hypoxemia in most cases; and enhancement of pulmonary artery hypertension, severe at rest already in group I.

摘要

对45例肺活量降低的患者在轻度运动(20瓦或40瓦)期间的心肺变化进行了研究。诊断结果为:纤维化(8例,第一组)、肺叶切除术(7例,第二组)、肥厚性胸膜炎(11例,第三组)、胸廓成形术(7例,第四组)和脊柱后凸(12例,第五组)。运动期间的变化特点为:呼吸频率增加比正常情况更为显著,潮气量增加较少,因此通气当量稳定,除第一组外均低于30;PaCO2升高,即使在静息时为低碳酸血症的第一组也是如此,在第三组和第五组中非常明显,大多数情况下低氧血症加重;肺动脉高压增强,第一组在静息时就已严重。

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