梗阻性黄疸系统性血流动力学临床研究

A Clinical Study of Systemic Hemodynamics of Obstructive Jaundice

本文报道运用无创伤性心功能检查和彩色多普勒对40例梗阻性黄疸(A 组)和36例单纯胆囊结石(B 组)血流动力学研究。结果表明:(1)A 组 TEM、PEP、LVET、SV、Cl、EF 明显高于 B 组(P<0.01),SVR A 组低于 B 组(P<0.01)。(2) A 组 PVD、PVP、BTP 大于 B 组(P<0.01),PBF A 组小于 B 组(P<0.01)。(3) A 组 TP、AIB 低于 B 组(P<0.01),GGT、LDH、ALK A 组高于 B 组(P<0.01)。(4) A 组平均动脉压低于 B 组(P<0.01)。提出胆管阻塞围手术期处理原则。

Systemic hemodynamics in 40 cases(group A)with obstructive jaundice and 36cases(group B)with gallbladder stones were studied by non-traumatic cardiac func-tion monitor and color Doppler.The results showed:(I)The electro mechanical sys-tole time(EMT),left ventricular ejection time(LVET),pre-ejection period(PEP),stroke volume(SV),cardiac index(CI),cardiac output(CO),were higher in group Athan in group B,and stroke vessel resistance(SVR)was lower in group A than ingroup B(P<0.01).(2)The portal vein diameter(PVD),portal vein pressure(PVP),biliary tract pressure(BTP)were higher in group A than in group B,and the portalblood flow(PBF)was smaller in group A than in group B(P<0.01).(3)The totalprotein(TP)and albumin(AIB)contents were lower in group A than in group (?),lacrate dehydrogenase(LDH),r-glutamyl transferase(GGT),alkaline phosphatase(ALP)were higher in group A than in group B(P<0.01).(4)The average artery pressurewas lower in group A than in group B.Therefore,the relieve of biliary tract obstruc-tion,increase of peripheral vessel resistance and replenishment of blood volume werekeys in the prophylaxis and treatment of shock of perioperative biliary Obstruction.