The Arterial to End-Expiratory Carbon Dioxide Tension Gradient in Acute Pulmonary Embolism and Other Cardiopulmonary Diseases

Autor: R. Rokseth, L. Hatle
Rok vydání: 1974
Předmět:
Zdroj: Chest. 66:352-357
ISSN: 0012-3692
DOI: 10.1378/chest.66.4.352
Popis: The arterial to end-tidal Pco2 gradient was measured in normal subjects and in the following patient groups: acute pulmonary embolism, acute myocardial infarction, left ventricular failure, pneumonia, obstructive lung diseases, primary pulmonary hypertension and shock from various causes. Increased gradients were observed in 24 of 25 patients with moderate or massive embolism, in 7 of 17 with small emboli, in 20 of 34 with chronic lung diseases, in 6 of 14 with shock and in 3 of 24 with left ventricular failure. By measuring in maximal expiration, high gradients in lung embolism were only slightly reduced, but approached zero in obstructive lung diseases or left ventricular failure. The patients with large emboli were thus clearly separated from other groups with acute or chronic ventilation-perfusion disturbances. No conclusive results were obtained in patients in shock.
Databáze: OpenAIRE