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经肺温度稀释法在肝及其与肾、胰、十二指肠联合移植围术期的应用研究 被引量:3
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作者 张鸿飞 徐世元 +3 位作者 许平 梁启波 张新建 周健 《实用医学杂志》 CAS 2006年第6期640-642,共3页
目的:观察经肺温度稀释法(PiCCO技术)在肝及其与肾、胰、十二指肠联合移植手术围术期的应用情况,并与改良式肺动脉漂浮导管(CCO导管)比较反映心脏前负荷参数的有效性。方法:对2例实施肝移植,1例实施肝脏、胰腺、十二指肠移植术,1例实施... 目的:观察经肺温度稀释法(PiCCO技术)在肝及其与肾、胰、十二指肠联合移植手术围术期的应用情况,并与改良式肺动脉漂浮导管(CCO导管)比较反映心脏前负荷参数的有效性。方法:对2例实施肝移植,1例实施肝脏、胰腺、十二指肠移植术,1例实施肝肾联合移植术的患者进行研究,4例患者均为男性,年龄42~48岁,ASAⅢ~Ⅳ级。无PiCCO及CCO导管置入禁忌证。静脉注射咪唑安定、异丙酚、芬太尼、维库溴胺后经鼻气管插管。于麻醉诱导前、气管插管后、切皮、无肝前期、无肝期、新肝前期、新肝期、术毕及术后血流动力学发生变化时,通过温度稀释法同时测定PiCCO与CCO系列参数。结果:共测得数据135组,其中全心舒张末期容积指数(GEDI)与每搏量指数正相关(r=0.77,P<0.001),肺动脉阻塞压与GEDI相关(r=0.44,P<0.05),中心静脉压与GEDI不相关(r=0.24,P>0.05);两种方法心输出量指数结果对比差异无统计学意义(P>0.05)。SVI与GEDI之间Pearson相关系数为r=0.77(P<0.001)。结论:在上腹部单或多器官移植围术期应用PiCCO技术可准确测量心输出量,其所测量的全心舒张末期容积与胸腔内血容积较CVP更能反映心脏前负荷变化。 展开更多
关键词 器官移植 经肺温度稀释法 心脏前负荷 胸腔内血容积 中心静脉 肺动脉阻塞压
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ROLE OF COLLAGEN METABOLISM CHANGES IN THE PATHOGENESIS OF PULMONARY HYPERTENSION IN RATS AND ITS REVERSIBILITY 被引量:1
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作者 孙仁宇 严仪昭 +2 位作者 陈祥银 斯勤 李红兵 《Chinese Medical Sciences Journal》 CAS CSCD 1994年第3期183-186,共4页
Pulmonary arterial pressure (PAP) was increased obviously in rats after 3 days of normobaric hypoxic exposure and reached a maximum at 14 days of hypoxia. It remained at the same level during prolonged hypoxic expo... Pulmonary arterial pressure (PAP) was increased obviously in rats after 3 days of normobaric hypoxic exposure and reached a maximum at 14 days of hypoxia. It remained at the same level during prolonged hypoxic exposure of up to 21 days. Right ventricular weight (RV/LV +S) and hydroxyproline (HP) content in the pulmonary artery began to increase at day 7. HP content had increased much faster than the relative rate of increase of PAP after 14 days, but HP content in the thoracic aorta showed no change. The relative proportion of type Ⅰto Ⅲ collagen increased singnificantly, and compliance of the pulmonary vessels obviously decreased. All parameters returned to the normal range within 14 days after recovery from hypoxia, except for HP content as expressed per vessel. 764-3 treatment obviously attenuated most of the changes caused by hypoxia, though it had no effect on compliance of the pulmonary vessels. It is suggested that collagen, especially type Ⅰcollagen, accumulation may play an important role in maintaining pulmonary hypertension. 764-3 has certain protective effects and may be useful in the treatment of early chronic obstructive pulmonary disease. 展开更多
关键词 HYPOXIA pulmonary hypertension COLLAGEN
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