Grabow L, Bammel E, Beneicke U, Hirsch H
Prakt Anaesth. 1978 Aug;13(4):272-5.
Controlled respiration should have a place not only in cases of hypoventilation but also in the treatment of comatose and hyperventilating persons. Hyperventilation is liable severely to interfere with the blood supply to the brain, and this disturbance, in conjunction with the primary disease responsible for the comatose condition, such as hyperglycaemia, diabetes or cerebral trauma, may be a contributing factor to the lethal outcome. Controlled respiration helps towards regulation of the cerebral circulation and of the acid-base balance and provides improved conditions for normalization of the disturbed metabolism and thus greatly improves the prognosis of these cases.
控制性呼吸不仅在通气不足的情况下适用,而且在昏迷和通气过度患者的治疗中也应占有一席之地。通气过度极易严重干扰大脑的血液供应,这种紊乱与导致昏迷状态的原发性疾病(如高血糖、糖尿病或脑外伤)共同作用,可能是导致致命后果的一个因素。控制性呼吸有助于调节脑循环和酸碱平衡,并为紊乱的新陈代谢恢复正常提供更好的条件,从而大大改善这些病例的预后。