经皮穿刺球囊导管二尖瓣成形术前后肺循环血流动力学研究  

Study on Pulmonary HemodynamicsPre- &Post-Percutaneous Balloon Mitral Valvuloplasty

作　　者：周晓楠[1] 张德利[1] 沙勇[1] 张金莉[1] 廖明兰[1] 

机构地区：[1]宁夏医学院内科学教研室

出　　处：《宁夏医学杂志》1994年第3期133-135,共3页Ningxia Medical Journal

摘　　要：本文用心导管法对６２例风湿性心脏病二尖瓣狭窄（ＭＳ）患者经皮穿刺球囊导管二尖瓣成形术（ＰＢＭＶ）前后的肺循环血流动力学的一系列指标进行了直接测定、比较和研究，结果表明，术后患者的全肺阻力、肺动脉收缩压、舒张压及平均压均显著下降，右心排血量及心排指数提高，肺小动脉阻力无显著变化。提示ＰＢＭＶ系一项能够即刻改善ＭＳ患者肺循环的非开胸疗法。Thru catheterization,a series of indices of pulmonary he-modynamics in 62 cases with rheuma-tic mitral stenosis MS)were mea-sured, studied and compared pre-& post- percutaneous balloon mitral va-lvuloplasty(PBM).The results sho-wed that,the total pulmonary resi-stance, pulmonary systolic pressurpulmonary diastolic pressure and mean pulmonary pressure decreased si-gnificantl;meanwhile,the right cardiac output and cardiac index increased,the pulmonary arterolaspre-ssure didn't change much,suggestingthat PBMV be a non-open thoracic therapy which can improve MS patie-nts’ pulmonary circulation instantly.

关 键 词：二尖瓣 成形术 肺循环 血液动力学 

分 类 号：R654.2[医药卫生—外科学]