Pleskov A P
Anesteziol Reanimatol. 2001 Sep-Oct(5):33-6.
Central hemodynamic parameters were studied by direct catheterization of the pulmonary artery in 70 patients with cancer of the esophagus and cardial portion of the stomach during the early postoperative period after extensive or extensive-combined interventions through the thoracoabdominal access. Analysis of the mean initial and intraoperative parameters at different stages of the operation showed no essential deviations from the norm. Studies of heart production at different stages showed that during transfer of patients from the operation room into intensive care ward, one-third of patients developed low ejection syndrome and another one-third hyperdynamic syndrome, while the mean values looked satisfactory. On days 3-5, circulatory hyperdynamia was detected in 60% patients, which was observed over the entire period of observation in 75% patients. It is noteworthy that polyorgan failure was 4-fold more often observed in patients with normal cardiac output than in those with the hyperdynamic syndrome. Probable causes of this phenomenon are discussed.
通过经胸腹途径进行广泛或广泛联合干预后，在术后早期对70例食管癌和贲门癌患者进行肺动脉直接插管，研究其中心血流动力学参数。对手术不同阶段的平均初始参数和术中参数进行分析，结果显示与正常情况无本质偏差。对不同阶段心脏功能的研究表明，在患者从手术室转入重症监护病房期间，三分之一的患者出现低射血综合征，另有三分之一出现高动力综合征，而平均值看起来令人满意。在第3 - 5天，60%的患者检测到循环高动力状态，75%的患者在整个观察期内均有此现象。值得注意的是，心输出量正常的患者发生多器官功能衰竭的频率是高动力综合征患者的4倍。文中讨论了这一现象的可能原因。
