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[电阻抗指示剂稀释法在重症监护和复苏单元评估血管外肺液体容量动态中的应用可能性]

[Possibilities of the method of dilution of electro-impedance indicators in the assessment of volume dynamics of extravascular lung fluid in intensive care and resuscitation units].

作者信息

Tugarinov S A, Chaus N I, Krivitskiĭ N M, Kislukhin V V, Khandiukov S B

出版信息

Vestn Akad Med Nauk SSSR. 1990(12):34-6.

PMID:2127142
Abstract

The possibility of using impedance plethysmography to assess changes in the volume of the extravascular lung fluid in intensive therapy and resuscitation patients is discussed. Changes in the volume of the fluid during extracorporeal detoxication are analysed. A correlation was found between these changes and lung distensibility (r = -0.7). A significant diminution of the fluid volume was observed in response to therapeutic doses of Lasix and Nitroglycerin. Data are cited on the increasing (85 percent) volumes of the fluid in preclinical pulmonary edema in patients with left ventricular insufficiency.

摘要

讨论了在重症治疗和复苏患者中使用阻抗容积描记法评估血管外肺液体积变化的可能性。分析了体外解毒过程中液体体积的变化。发现这些变化与肺扩张性之间存在相关性(r = -0.7)。观察到给予治疗剂量的速尿和硝酸甘油后,液体体积显著减少。引用了关于左心室功能不全患者临床前肺水肿中液体体积增加(85%)的数据。

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