血流动力学指标监测在肺心病心衰治疗中的指导意义

Significance of hemodynamic parameters in guiding treatment of corpulmonale congestive heart failure

目的探讨血流动力学指标在肺心病心衰诊断和治疗中的应用价值。方法选择36例住院肺心病心衰患者,分别在治疗前和治疗后30’、60’、120’和240’观察SV(每搏输出量)、CO(心输出量)、SVR(外周血管阻力);同时观察治疗前和治疗后2h、24h动脉血量和FEV1%(一秒用力肺活量)。结果血流动力学指标能可靠、及时、准确地反映病情变化。结论血流动力学指标可以更直接有效地指导肺心病心衰的诊断和治疗。

Objective To investigate guiding value of the hemodynamic parameters in the diagnosis and treatment of corpulmonale congestive heart failure. Methods The changes of SV, CO,SVR were observed in 36 hospitalized cases of corpulmonale congestive heart failure, before and after the treatment 30＇,60＇,120＇and 240＇. At the same time, the measures o f PaO2 , PaCO2 and FEV1% were observed 2 h before and 24 h after the treatment. ResultsThe changes of patient＇s condition can be reflected in the hemodynamic parameters, reliably, timely,and accurately. Conclusion The hemedynamic parameters can guide the diagnosis and treatment of corpulmonale congestive heart failure directly and effectively.