摘要
心内病变合并肺高压患者的手术矫治目的,一方面是矫治病变,另一方面在于力图使增高的肺动脉压有所逆转。目前,对围术期肺动脉压的变化规律临床尚少报道。本文根据我科两组34例心内病变并肺高压围术期肺动脉测压的结果,对术后24小时内肺动脉压的变化加以观察,并对其术后出现的合并症作一初步分析。探讨围术期肺动脉压力变化的规律和相应的临床处理方法。
Pulmonary hypertension is the complication of many heart diseases. It is important for post cardiac surgery due to it's affection. It's changing trend after correction of intra -car- diac malformation has been the point for at-tension in the long past. In this study, two different pathological pulmonary hypertension-groaps were compared to their change of pul monary pressure in the during and early post operaive period. Sixteen in conestive pulmonary hypertension group, who were left-to-right shunt congenital heart defects with an average of pulmonary pressure 53.5 mmHg. Eighteen in passive pulmonary hypertenson group, rheu matic heart valve disease with average mean pulmonary pressure 50.73 mmHg. Their com plication were also analysised separatedly. Both of groups shew singnificant decrease of pul monary pressure just post operation (p<0.01). In the congestive group, it shew some re-elevation in 24 hours after operation (p<0.01) but not in the passive group. The postoperative complication in the former was mainly in pulmonary system, but heart failure in the later. The authors consider that use of vasodilators will be helpful in the decrease of pulmonary pressure and the treatment of compli cations in the early post-operation.
出处
《广东医学》
CAS
CSCD
1994年第6期366-368,共3页
Guangdong Medical Journal
