Измерение диффузионной способности легких по монооксиду углерода методом одиночного вдоха: стандарты Американского торакального и Европейского респираторного обществ (часть 1-я)
https://doi.org/10.18093/0869-0189-2019-29-2-149-158
Аннотация
В данном документе приведены обновленные технические стандарты Европейского респираторного общества (European Respiratory Society – ERS) и Американского торакального общества (American Thoracic Society – ATS) по измерению поглощения монооксида угле- рода в легких методом одиночного вдоха. Последние рекомендации были опубликованы в 2005 г. Несмотря на то, что оба термина – диффузионная способность легких (DLCO) и трансфер-фактор СО (TLCO) – одинаково характеризуют поглощение монооксида углеро- да в легких, в данном документе используется термин DLCO. Специалистами совместной рабочей группы ERS и ATS проведен обзор недавно опубликованной литературы по этому вопросу и существующих технических возможностей и аппаратуры, производимой в мире. Представленные в данном документе рекомендации являются результатом консенсуса членов рабочей группы в соответствии с доказательствами, существующими сегодня по разным аспектам измерения DLCO. Более того, в документе отражено мнение экспер- тов, вошедших в рабочую группу, по тем вопросам, для которых высококачественные доказательства либо отсутствуют, либо являются недостаточно полными. Основные изменения в данных технических стандартах связаны с измерением DLCO с помощью систем, исполь- зующих газоанализаторы быстрого реагирования (RGA-газоанализаторы) для монооксида углерода и индикаторного газа, которые сего- дня являются наиболее распространенными из выпускаемых аппаратов для измерения DLCO. Технические усовершенствования этих новых систем позволяют улучшить измерение DLCO и определить новые стандарты измерения легочного газообмена. Дополнительные материалы к данной статье доступны на сайте https://erj.ersjournals.com
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Рецензия
Для цитирования:
Измерение диффузионной способности легких по монооксиду углерода методом одиночного вдоха: стандарты Американского торакального и Европейского респираторного обществ (часть 1-я). Пульмонология. 2019;29(2):149-158. https://doi.org/10.18093/0869-0189-2019-29-2-149-158
For citation:
Measurement of Single-Breath Diffusing Capacity of the Lungs for Carbon Monoxide: new standards of European Respiratory Society and American Thoracic Society (рart 1). PULMONOLOGIYA. 2019;29(2):149-158. (In Russ.) https://doi.org/10.18093/0869-0189-2019-29-2-149-158
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