摘要
目的:探讨心脏移植手术中造成右心功能不全的原因及其防治方法。方法:11例实施同种异体原位心脏移植手术病人监测围手术期肺动脉压力、肺循环阻力、中心静脉压和右心功能。预防性给予前列腺素E1,术后吸入NO。结果:本组病例无死亡,11例病人术中肺动脉压力有所下降,中心静脉压均有不同程度升高,1例病人出现右心功能不全表现。结论:术前正确评估肺动脉压力和右心功能,采取综合措施积极有效地降低肺动脉压,减轻右心负荷是避免或减轻右心功能不全的关键。
Objective：To explore the cause and management of right graft heart dysfunction after transplantation. Methods：11 patients with end-stage dilated cardicomyopathy underwent orthotopic heart transplantation. Pulmonary arterial pressure （PAP）,pulmonary vascular resistance （PVR）,central vein pressure （CVP） and right graft heart function were monitored by Swan-Ganz catheter during the operation. Prostaglandin E1 was administered slowly via Swan-Ganz catheter before transplantation and inhaled NO postoperation. Results ： Pulmonary arterial pressure of all patients decreased to a certain extent. One patient appeared right graft heart dysfunction and nobody died. Conclusion： Proper evaluation of preoperative status of PAP and right heart performance, in combination of aggressive reduction of PAP and fight heart burden,may critically contribute to prevention or amelioration of graft heart.
出处
《广州医学院学报》
2006年第5期11-13,共3页
Academic Journal of Guangzhou Medical College
关键词
心脏移植
高血压
肺性
心室功能障碍
右
heart transplantation
hypertension
pulmonary
ventriculan dysfunction
right
