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心内直视手术期间及术后血液流变性变化的临床研究 被引量:2

The clincal study of the changes of haemorheology during and after open heart surgery
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摘要 目的:观察心内直视手术期间及术后血液流变学的变化。方法:分别在麻醉前、转流前、转流后10min、心脏复跳后10min、停转后10min及术毕3h测定Hct、血沉、血浆粘度、全血高、中、低切粘度、全血还原高、低切粘度。结果:全血高、中、低切粘度、血浆粘度及Hct在转流期间及复跳后10min显著下降(P<0.001)。其他指标无明显变化。结论:心内直视手术期间体外循环对全血粘度、血浆粘度及Hct有显著影响,对血沉及全血还原粘度影响不大。 Objective:To study the diagnostic ultrasound influencing on electrocardiogram(ECG) of normal adults.Methods:Normal younths were radiated with a ultrasonic intersity of 0.2 W/cm 2 on the ventricular area.The ECGs of every individual including before radiation,on radiation and after radiation were recorded,measured and compared respectively.Results:Compared with the before radiation,the peaks of the R and S waves of limb lead in any body were obviously enlarged at the time of 90 s( P <0.01).The waves of P and T of the same lead had not markedly changed( P >0.05).After ultrasomic radiation was stopped,the enlarged R and S wavcs could gradually recocer to the level before radiation. Concluslon:Diagnostic dosage ultrasound may result in the temporary change of wave amplitude of ECG.So the examinating time of heart ultrasound should be shortened as far as possible.
作者 梁仕伟 粟歌
出处 《中国医学物理学杂志》 CSCD 1999年第2期123-124,共2页 Chinese Journal of Medical Physics
关键词 体外循环 心脏手术 血液流变学 ultrasound electrocardiogram(ECG) limb lead S Wave R Wave
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