摘要
目的:了解冠脉搭桥术后早期肺动力学指标的变化,比较体外循环和非体外循环心脏不停跳冠脉搭桥术对术后早期肺功能的影响。方法:对行体外循环与非体外循环不停跳冠脉搭桥术的28例冠心病患者的肺动力学指标、血气分析及某些临床指标进行检测。结果:冠脉搭桥术后早期患者均出现肺顺应性下降,气道阻力下降,两组比较,不停跳冠脉搭桥术后早期患者肺顺应性较高,动脉血氧分压较高,机械通气时间较短,且均有显著性差异（P<0.05）。结论:冠脉搭桥手术对术后早期肺顺应性有不良影响,不停跳冠脉搭桥术对术后早期肺功能的影响较少,有利于改善患者的预后。
Objective: To study the early pulmonary function after coronary bypass(CB) on a beating heart or with cardiopulmonary bypass(CPB). Methods:The pulmonary dynamics,blood gas analysis and other clinical indexes were measured in 28 patients with coronary cardiopathy received CB on a beating heart or with CPB. Results: In the early period after CB, there were significant decreases of pulmonary compliance and airway resistence. Compared with the patients received CB with CPB, those received CB on a beating heart had higher pulmonary compliance,higher PaO2 and shorter mechanical ventilation time. Conclusion:The CB on a beating heart has lessbad influences on pulmonary function and is benificial to the prognosis of patient.
出处
《天津医药》
CAS
北大核心
2002年第7期410-412,共3页
Tianjin Medical Journal
