肺切除早期肺循环血液动力学改变及其临床意义  

Early phase change of pulmonary hemodynamics and clinical signicant after lung resection

作　　者：邱能庸[1] 郭占林[1] 朱宪明[1] 胡燕华[1] 邱琳[1] 梁俊国[1] 王桂桃[1] 胡素清[1] 

机构地区：[1]内蒙古医学院附属医院胸心外科

出　　处：《内蒙古医学杂志》2000年第3期161-164,共4页Inner Mongolia Medical Journal

摘　　要：目的 :为了解肺叶切除术术后肺循环血液动力学改变 ,更好地做好围手术期的处理。方法 :行动物试验 ,以右心导管直测肺切除前、后的肺动脉压、心排量等的变化 ,临床上对 46例肺切除病理应用无创性多普勒超声技术检测术前、后的肺循环血液动力学有关指标。结果 :肺切除术后经上述两种方法所测结果 :肺动脉平均压升高 ,心排量下降 ,肺血管阻力上升。与肺切除前所测值对比 ,经统计学处理P <0 0 1。结论Objective:The purpose of investigate the changes of pulmonary hymodynamics after lung resection and affers a better postoperative management.Methods:Cardiac catheterization was employed to determines data of pulmonary artery mean pressure and cardiac putout on pre-operation in dog.The 46 patients were studied who accepted the lung resection and adopts 2-D and Doppler echocardiagraphy to determines data of pulmonary hemodynamics.Results:The results show that pulmonary artery mean pressure and total pulmonary resistance elevatedand cardiac output decreased after lung resection comparing with those before operation the difference significant(P< 0.01 ).Conclusion:pulmonary hemodyna mics was harmed after lung resection.It is importants to take note of perioperative treatment. [

关 键 词：肺切除 肺循环 血液动力学改变 围手术期 

分 类 号：R655.3[医药卫生—外科学]