<?xml version='1.0' encoding='utf-8'?>
<CERIF xmlns='urn:xmlns:org:eurocris:cerif-1.5-1' xsi:schemaLocation='urn:xmlns:org:eurocris:cerif-1.5-1 http://www.eurocris.org/Uploads/Web%20pages/CERIF-1.5/CERIF_1.5_1.xsd' xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance' release='1.5' date='2012-10-07' sourceDatabase='Output Profile'>
<cfResPubl>
<cfResPublId>ibn-ResPubl-11799</cfResPublId>
<cfResPublDate>2011-07-01</cfResPublDate>
<cfVol>31</cfVol>
<cfIssue>3</cfIssue>
<cfStartPage>167</cfStartPage>
<cfISSN>1857-0011</cfISSN>
<cfURI>https://ibn.idsi.md/ro/vizualizare_articol/11799</cfURI>
<cfTitle cfLangCode='RO' cfTrans='o'>Dereglările metabolismului gazos şi celui acidobazic la pacienţii cu trombembolia arterei pulmonare/tromboză pulmonară</cfTitle>
<cfAbstr cfLangCode='RO' cfTrans='o'>Modifi cările anormale ale gazelor pulmonare sunt consecinţe
deseori inevitabile în TEAP/TP acut. Hipocapnia
este comună, uneori însă nu atât de des ca hipoxemia. La
pacienţii cu insufi cienţă respiratorie hipercapnică, TEAP/
TP uneori poate fi însoţită de reducerea PaCO2. Gradul de
hipocapnie pare a fi independent de gradul de severitate a
hipoxemiei şi este puţin probabil ca acest fapt să fi e consecinţa
stimulării chemoreceptorilor. Schimbul anormal de
gaze la pacienţii cu TEAP/TP rezultă din mecanisme combinate,
ce includ diferenţa de ventilaţie/perfuzie (VA/Q),
şuntul intrapulmonar şi intracardiac, difuziune neadecvată
şi hipoxemie venoasă mixtă. De aceea, importanţa acestor
factori este diferită la fi ecare pacient.</cfAbstr>
<cfAbstr cfLangCode='EN' cfTrans='o'>Abnormal pulmonary gas exchange is an
almost inevitable consequence of acute pulmonary
thromboembolism/ thrombosis. Hypocapnia is common,
although perhaps not as universal as hypoxemia. Even
in pacients with hypercapnic respiratory failure, acute
pulmonary embolism has been associated with reduction
in the PaCO2 . Because the degree of hypocapnia appears
to be independent of the severity of the hypoxemia, it is
unlikely that it is due to chemoreceptor stimulation. The
abnormal gas exchange in pacient with acute pulmonary
thromboembolism/trhrombosis results from a combination
of mechanism, including ventilation/perfusion (VA/Q)
inequality, intrapulmonary and intracardiac shunting,
diffusion impairment, and mixed venous hypoxemia. The
importance of each of these factors varies from patient to
patient.</cfAbstr>
<cfAbstr cfLangCode='RU' cfTrans='o'>Аномальные изменения легочного газа часто явля-
ются неизбежными последствиями ТЭЛА/ТЛ. Гипо-
капния является обычным явлением, но иногда не так
часто как гипоксемия. Иногда у пациентов с гиперкап-
нической дыхательной недостаточностью ТЭЛА/ТЛ
может сопровождаться снижением PaCO2. Степень ги-
покапнии кажется независимой от тяжести гипоксемии
и менее всего зависит от стимуляции рецепторов. На-
рушение газообмена у больных с ТЭЛА/ТЛ происходит
из-за комбинированных механизмов, включая разницу
между вентиляцией/перфузией (VA/Q), внутрилегоч-
ный и внутрисердечный шунты. Поэтому, важность
этих факторов различна для разных пациентов.</cfAbstr>
<cfResPubl_Class>
<cfClassId>eda2d9e9-34c5-11e1-b86c-0800200c9a66</cfClassId>
<cfClassSchemeId>759af938-34ae-11e1-b86c-0800200c9a66</cfClassSchemeId>
<cfStartDate>2011-07-01T24:00:00</cfStartDate>
</cfResPubl_Class>
<cfResPubl_Class>
<cfClassId>e601872f-4b7e-4d88-929f-7df027b226c9</cfClassId>
<cfClassSchemeId>40e90e2f-446d-460a-98e5-5dce57550c48</cfClassSchemeId>
<cfStartDate>2011-07-01T24:00:00</cfStartDate>
</cfResPubl_Class>
<cfPers_ResPubl>
<cfPersId>ibn-person-11695</cfPersId>
<cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId>
<cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId>
<cfStartDate>2011-07-01T24:00:00</cfStartDate>
</cfPers_ResPubl>
<cfPers_ResPubl>
<cfPersId>ibn-person-26987</cfPersId>
<cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId>
<cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId>
<cfStartDate>2011-07-01T24:00:00</cfStartDate>
</cfPers_ResPubl>
<cfPers_ResPubl>
<cfPersId>ibn-person-25793</cfPersId>
<cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId>
<cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId>
<cfStartDate>2011-07-01T24:00:00</cfStartDate>
</cfPers_ResPubl>
<cfPers_ResPubl>
<cfPersId>ibn-person-17593</cfPersId>
<cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId>
<cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId>
<cfStartDate>2011-07-01T24:00:00</cfStartDate>
</cfPers_ResPubl>
<cfPers_ResPubl>
<cfPersId>ibn-person-32930</cfPersId>
<cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId>
<cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId>
<cfStartDate>2011-07-01T24:00:00</cfStartDate>
</cfPers_ResPubl>
</cfResPubl>
<cfPers>
<cfPersId>ibn-Pers-11695</cfPersId>
<cfPersName_Pers>
<cfPersNameId>ibn-PersName-11695-2</cfPersNameId>
<cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId>
<cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId>
<cfStartDate>2011-07-01T24:00:00</cfStartDate>
<cfFamilyNames>Кожокару</cfFamilyNames>
<cfFirstNames>Виктор</cfFirstNames>
</cfPersName_Pers>
</cfPers>
<cfPers>
<cfPersId>ibn-Pers-26987</cfPersId>
<cfPersName_Pers>
<cfPersNameId>ibn-PersName-26987-2</cfPersNameId>
<cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId>
<cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId>
<cfStartDate>2011-07-01T24:00:00</cfStartDate>
<cfFamilyNames>Cuşnir</cfFamilyNames>
<cfFirstNames>Olga</cfFirstNames>
</cfPersName_Pers>
</cfPers>
<cfPers>
<cfPersId>ibn-Pers-25793</cfPersId>
<cfPersName_Pers>
<cfPersNameId>ibn-PersName-25793-2</cfPersNameId>
<cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId>
<cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId>
<cfStartDate>2011-07-01T24:00:00</cfStartDate>
<cfFamilyNames>Stoica</cfFamilyNames>
<cfFirstNames>Natalia</cfFirstNames>
</cfPersName_Pers>
</cfPers>
<cfPers>
<cfPersId>ibn-Pers-17593</cfPersId>
<cfPersName_Pers>
<cfPersNameId>ibn-PersName-17593-2</cfPersNameId>
<cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId>
<cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId>
<cfStartDate>2011-07-01T24:00:00</cfStartDate>
<cfFamilyNames>Moraru</cfFamilyNames>
<cfFirstNames>Elena</cfFirstNames>
</cfPersName_Pers>
</cfPers>
<cfPers>
<cfPersId>ibn-Pers-32930</cfPersId>
<cfPersName_Pers>
<cfPersNameId>ibn-PersName-32930-2</cfPersNameId>
<cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId>
<cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId>
<cfStartDate>2011-07-01T24:00:00</cfStartDate>
<cfFamilyNames>Ţurcalenco</cfFamilyNames>
<cfFirstNames>Tatiana</cfFirstNames>
</cfPersName_Pers>
</cfPers>
</CERIF>