Респираторная медицина. Руководство (в 2-х томах)
Шрифт:
48.O'Donnell DE: Breathlessness in patients with chronic airflow limitation: Mechanisms and management. Chest 1994; 106:904-912.
49.Oelberg DA, Kacmarek RM, Pappagianopoulos PP, et al: Ventilatory and cardiovascular responses to inspired He-O2 during exercise in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 1998; 158:1876-1882.
50.Oelberg DA, Systrom DM, Markowitz DH, et al: Exercise performance in cystic fibrosis before and after bilateral lung transplantation. J Heart Lung Transplant 1998; 17:1104-1112.
51.Polkey MI, Kyroussis D, Mills GH, et al: Inspiratory pressure support reduces slowing of inspiratory muscle relaxation rate during exhaustive treadmill walking in severe COPD. Am J Respir Crit Care Med 1996; 154:1146-1150.
52.Potter WA, Olafsson S, Hyatt RE: Ventilatory mechanics and expiratory flow limitation during exercise in patients with obstructive lung disease. J Clin Invest 1971; 50:910-919.
53.Pride NB, Macklem PT: Lung mechanics in disease. In: Macklem PT, Mead J, ed. Handbook of Physiology. Section 3: The Respiratory System. Vol II: Mechanics of Breathing, Baltimore: Williams & Wilkins; 1986:659-692.
54.Raeside DA, Smith A, Brown A, et al: Pulmonary artery pressure measurement during exercise testing in patients with suspected pulmonary hypertension. Eur Respir J 2000; 16:282-287.
55.Reeves JT, Moon RE, Grover RF, et al: Increased wedge pressure facilitates decreased lung vascular resistance during upright exercise. Chest 1988; 93:97S-99S.
56.Rhodes J, Barst RJ, Garofano RP, et al: Hemodynamic correlates of exercise function in patients with primary pulmonary hypertension. J Am Coll Cardiol 1991; 18:1738-1744.
57.Richardson RS, Noyszewski EA, Leigh JS, et al: Lactate efflux from exercising human skeletal muscle: Role of intracellular PO2. J Appl Physiol 1998; 85:627-634.
58.Richardson RS, Sheldon J, Poole DC, et al: Evidence of skeletal muscle metabolic reserve during whole body exercise in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 1999; 159:881-885.
59.Risk C, Epler GR, Gaensler EA: Exercise alveolar-arterial oxygen pressure difference in interstitial lung disease. Chest 1984; 85:69-74.
60.Sexton WL, Poole DC: Effects of emphysema on diaphragm blood flow during exercise. J Appl Physiol 1998; 84:971-979.
61.Simon M, LeBlanc P, Jobin J, et al: Limitation of lower limb VO2 during cycling exercise in COPD patients. J Appl Physiol 2001; 90:1013-1019.
62.Sinderby C, Spahija J, Beck J, et al: Diaphragm activation during exercise in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2001; 163:1637-1641.
63.Spiro SG, Dowdeswell IR, Clark TJ: An analysis of submaximal exercise responses in patients with sarcoidosis and fibrosing alveolitis. Br J Dis Chest 1981; 75:169-180.
64.Stubbing DG, Pengelly LD, Morse JL, et al: Pulmonary mechanics during exercise in subjects with chronic airflow obstruction. J Appl Physiol 1980; 49:511-515.
65.Sun XG, Hansen JE, Oudiz RJ, et al: Gas exchange detection of exercise-induced right-to-left shunt in patients with primary pulmonary hypertension. Circulation 2002; 105:54-60.
66.Theodore J, Robin ED, Morris AJ, et al: Augmented ventilatory response to exercise in pulmonary hypertension. Chest 1986; 89:39-44.
67.Wagner PD: Ventilation-perfusion matching during exercise. Chest 1992; 101:192S-198S.
68.Wasserman K, Hansen JE, Sue DY, et al: Normal values. In: Wasserman K, ed. Principles of Exercise Testing and Interpretation, 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 1999:143-164.
69.Wasserman K, Hansen JE, Sue DY, et al: Principles of Exercise Testing and Interpretation, Philadelphia, Lippincott Williams & Wilkins, 1999.
70.Wasserman K, Whipp BJ, Koyal SN, et al: Anaerobic threshold and respiratory gas exchange during exercise. J Appl Physiol 1973; 35:236-243.
71.Wasserman K, Whipp BJ: Exercise physiology in health and disease. Am Rev Respir Dis 1975; 112:219-249.
72.Wetter TJ, Harms CA, Nelson WB, et al: Influence of respiratory muscle work on VO2 and leg blood flow during submaximal exercise. J Appl Physiol 1999; 87:643-651.
73.Younes M: Determinants of thoracic excursions during exercise. In: Whipp BJ, Wasserman K, ed. Lung Biology in Health and Disease. Vol 42: Exercise: Pulmonary Physiology and Pathophysiology, New York: Marcel Dekker; 1991:1-65.
74.Young IH, Daviskas E, Keena VA: Effect of low dose nebulised morphine on exercise endurance in patients with chronic lung disease. Thorax 1989; 44:387-390.
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: 06.1. ОДЫШКА
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Одышка является одним из наиболее тягостных клинических симптомов больных с заболеваниями дыхательной и сердечно-сосудистой систем, имеет различные толкования в определении, сложное понимание патофизиологических механизмов, разнообразие используемых лечебных программ [5, 17, 41]. Одышка является основным фактором, лимитирующим физическую активность и трудоспособность, и относится к одному из основных симптомов, определяющих качество жизни. Одышка - основной критерий хронической дыхательной недостаточности, хотя дыхательная недостаточность может быть без одышки и, наоборот, одышка может быть без дыхательной недостаточности [13]. Одышка по эмоциональной значимости превышает боль, ассоциируется с чувством тревоги и страха [7].