体外生命支持期间心脏负荷反应性的定量评估：病例与理论依据

Simons Antoine P, Lancé Marcus D, Reesink Koen D, van der Veen Frederik H, Weerwind Patrick W, Maessen Jos G

Dept, of Cardiothoracic Surgery, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center (MUMC), Maastricht, the Netherlands.

J Cardiothorac Surg. 2010 Apr 27;5:30. doi: 10.1186/1749-8090-5-30.

We describe a case of a patient assisted by extracorporeal life support, in which we obtained the dynamic filling index, a measure for venous volume during extracorporeal life support, and used this index to assess cardiac load-responsiveness during acute reloading. While reloading, the obtained findings on cardiac pump function by the dynamic filling index were supported by trans-esophageal echocardiography and standard pressure measurement. This suggests that the dynamic filling index can be used to assess cardiac load-responsiveness during extracorporeal life support.

我们描述了一例接受体外生命支持的患者，在此过程中我们获得了动态充盈指数，这是一种体外生命支持期间静脉容量的测量指标，并使用该指数评估急性再充盈期间的心脏负荷反应性。在再充盈过程中，通过动态充盈指数获得的关于心脏泵功能的结果得到了经食管超声心动图和标准压力测量的支持。这表明动态充盈指数可用于评估体外生命支持期间的心脏负荷反应性。