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[肌萎缩侧索硬化症中的呼吸功能不全及治疗方法]

[Respiratory insufficiency in amyotrophic lateral sclerosis and methods of treatment].

作者信息

Popova L M, Alferova V P

出版信息

Anesteziol Reanimatol. 1997 Nov-Dec(6):35-40.

PMID:9511245
Abstract

Respiratory failure in amyotrophic lateral sclerosis is caused by paralysis and paresis of the respiratory and glossopharyngeolaryngeal muscles obstructing and restricting ventilation of the lungs. Examination of the external respiratory function helps early diagnose the condition. Monitoring of vital capacity of the lungs and respiratory rate is the most informative method. Analyzing the problem of progressive respiratory failure, we cannot neglect its ethical, social, and financial aspects. Informed consent of patients, families, and sponsors to prolonged forced ventilation of the lungs is to be obtained before the condition progresses to critical.

摘要

肌萎缩侧索硬化症中的呼吸衰竭是由呼吸及舌咽喉肌的麻痹和无力导致肺部通气受阻和受限引起的。对外呼吸功能进行检查有助于早期诊断病情。监测肺肺活量和呼吸频率是最具信息量的方法。在分析进行性呼吸衰竭问题时,我们不能忽视其伦理、社会和经济方面。在病情发展到危急状态之前,应获得患者、家属和资助者对长期强制肺部通气的知情同意。

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