Sun J
Second Teaching Hospital, Xi'an Medical University.
Zhonghua Xin Xue Guan Bing Za Zhi. 1991 Dec;19(6):375-7, 398.
The hemodynamic changes of 15 cases during external counterpulsation with left and right cardiac catheters were reported. The results showed that the diastolic pressure at the root of the aorta was remarkably increased, the peak value (countercurrent pressure) was 8.02 +/- 2.05 kPa higher than the diastolic pressure before counterpulsation; the aortic systolic pressure during counterpulsation was slightly decreased with a mean value of 0.81 kPa; there was no apparent change in the central venous pressure and pulmonary arterial pressure; pulmonary arterial wedge pressure was slightly reduced during counterpulsation. All the above data are useful in showing the improvement of cardiac and brain perfusion volume and clarifying its mechanism.
报道了15例患者在进行体外反搏时采用左右心导管监测的血流动力学变化。结果显示,主动脉根部舒张压显著升高,峰值(反流压)比反搏前舒张压高8.02±2.05千帕;反搏期间主动脉收缩压略有下降,平均值为0.81千帕;中心静脉压和肺动脉压无明显变化;反搏期间肺动脉楔压略有降低。上述所有数据均有助于显示心脏和脑灌注量的改善情况并阐明其机制。