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成人呼吸窘迫综合征患者左心衰竭的检测

Detection of left ventricular failure in patients with adult respiratory distress syndrome.

作者信息

Unger K M, Shibel E M, Moser K M

出版信息

Chest. 1975 Jan;67(1):8-13. doi: 10.1378/chest.67.1.8.

DOI:10.1378/chest.67.1.8
PMID:139299
Abstract

Fourteen patients with adult respiratory distress syndrome were admitted to the medical intensive care unit and received bedside heart catheterization with the use of a balloon-tipped, flow directed catheter. Four of the 14 (29 percent) were found to have left ventricular failure (LVF), defined as a pulmonary artery wedge pressure greater than 12 mm Hg. Analysis of the standard clinical and laboratory data demonstrated no criteria which could differentiate those patients with LVF from those without. Three of the four patients indentified as having LVF responded to therapy directed toward LVF with substantial clinical improvement.

摘要

14名患有成人呼吸窘迫综合征的患者被收治入内科重症监护病房,并使用带球囊尖端的血流导向导管进行床边心脏导管插入术。14名患者中有4名(29%)被发现患有左心室衰竭(LVF),定义为肺动脉楔压大于12毫米汞柱。对标准临床和实验室数据的分析表明,没有任何标准可以区分有LVF的患者和没有LVF的患者。确定为患有LVF的4名患者中有3名对针对LVF的治疗有反应,临床症状有显著改善。

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Detection of left ventricular failure in patients with adult respiratory distress syndrome.成人呼吸窘迫综合征患者左心衰竭的检测
Chest. 1975 Jan;67(1):8-13. doi: 10.1378/chest.67.1.8.
2
[Pulmonary hypertension in severe adult respiratory distress syndrome].
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Biventricular function in the adult respiratory distress syndrome.成人呼吸窘迫综合征中的双心室功能
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Acute lung injury. Hemodynamic monitoring with the pulmonary artery catheter.急性肺损伤。使用肺动脉导管进行血流动力学监测。
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Pharmacologic alterations in pulmonary artery pressure in the adult respiratory distress syndrome.成人呼吸窘迫综合征中肺动脉压力的药理学改变
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Pulmonary artery and left heart end-diastolic pressure relations.肺动脉与左心舒张末期压力的关系。
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Left ventricular function during respiratory failure.呼吸衰竭时的左心室功能
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A Simple Derived Prediction Score for the Identification of an Elevated Pulmonary Artery Wedge Pressure Using Precatheterization Clinical Data in Patients Referred to a Pulmonary Hypertension Center.一种利用转诊至肺动脉高压中心患者导管插入术前临床数据识别肺动脉楔压升高的简单衍生预测评分
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Circ Heart Fail. 2017 Apr;10(4):e003689. doi: 10.1161/CIRCHEARTFAILURE.116.003689.

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Treatment of acute low pressure pulmonary edema in dogs: relative effects of hydrostatic and oncotic pressure, nitroprusside, and positive end-expiratory pressure.犬急性低压性肺水肿的治疗:流体静力压与胶体渗透压、硝普钠及呼气末正压的相关作用
J Clin Invest. 1981 Feb;67(2):409-18. doi: 10.1172/JCI110049.
2
Physical diagnosis versus modern technology. A review.物理诊断与现代技术。综述。
West J Med. 1990 Apr;152(4):377-82.
3
Editorial: Adult respiratory-distress syndrome.社论:成人呼吸窘迫综合征
Br Med J. 1975 Jun 7;2(5970):523-4. doi: 10.1136/bmj.2.5970.523.
4
Acute pulmonary oedema in a patient with phaeochromocytoma.
Intensive Care Med. 1978 Jul;4(3):165-7. doi: 10.1007/BF01700260.
5
Influence of elevated pulmonary vascular resistance on the relationship between central venous pressure and pulmonary artery occluded pressure following cardiopulmonary bypass.体外循环后肺血管阻力升高对中心静脉压与肺动脉闭塞压之间关系的影响。
Can Anaesth Soc J. 1978 Mar;25(2):106-12. doi: 10.1007/BF03005065.
6
Hemodynamic monitoring in acute myocardial infarction.急性心肌梗死的血流动力学监测
Can Med Assoc J. 1979 Oct 6;121(7):905-10.