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本文引用的文献

1
Do pre-adenotonsillectomy echocardiographic findings change postoperatively in children with severe adenotonsillar hypertrophy.严重腺样体扁桃体肥大患儿术前超声心动图检查结果在腺样体扁桃体切除术后会发生变化吗？
J Saudi Heart Assoc. 2011 Jan;23(1):31-5. doi: 10.1016/j.jsha.2010.10.003. Epub 2010 Oct 28.
2
High citrulline-to-arginine ratio associated with blood pressure abnormalities in children with early chronic kidney disease.高瓜氨酸/精氨酸比值与早期慢性肾脏病儿童血压异常相关。
Circ J. 2013;77(1):181-7. doi: 10.1253/circj.cj-12-0602. Epub 2012 Sep 20.
3
Impact of septoplasty on pulmonary artery pressure in patients with markedly deviated septum.鼻中隔成形术对鼻中隔明显偏曲患者肺动脉压的影响。
J Craniofac Surg. 2011 Sep;22(5):1591-3. doi: 10.1097/SCS.0b013e31822e5e21.
4
Guidelines for the performance of a comprehensive intraoperative epiaortic ultrasonographic examination: recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists; endorsed by the Society of Thoracic Surgeons.全面术中主动脉超声检查操作指南：美国超声心动图学会和心血管麻醉医师学会的建议；经胸外科医师学会认可。
Anesth Analg. 2008 May;106(5):1376-84. doi: 10.1213/ane.0b013e31816a6b4c.
5
Different time course of changes in tricuspid regurgitant pressure gradient and pulmonary artery flow acceleration after pulmonary thromboendarterectomy: implications for discordant recovery of pulmonary artery pressure and compliance.肺动脉血栓内膜剥脱术后三尖瓣反流压力梯度和肺动脉血流加速度变化的不同时间进程：对肺动脉压力和顺应性不一致恢复的影响
Circ J. 2007 Nov;71(11):1771-5. doi: 10.1253/circj.71.1771.
6
Chronic upper airway obstruction and cardiac dysfunction: anatomy, pathophysiology and anesthetic implications.慢性上气道梗阻与心功能不全：解剖学、病理生理学及麻醉学意义
Paediatr Anaesth. 2004 Jan;14(1):75-83. doi: 10.1046/j.1460-9592.2003.01193.x.
7
Statistical analysis of the alterations of blood gases produced by nasal packing.鼻填塞引起的血气变化的统计分析。
Laryngoscope. 1973 Nov;83(11):1802-9.
8
Upper airway obstruction and the pharyngeal lymphoid tissue.上气道阻塞与咽部淋巴组织。
Otolaryngol Clin North Am. 1987 May;20(2):235-9.
9
Relief of upper airway obstruction by adenotonsillectomy.腺样体扁桃体切除术缓解上气道梗阻。
Otolaryngol Head Neck Surg. 1986 Apr;94(4):476-80. doi: 10.1177/019459988609400412.
10
The sequence of cellular and hemodynamic changes of chronic pulmonary hypertension induced by hypoxia and other stimuli.由缺氧及其他刺激所诱发的慢性肺动脉高压的细胞和血流动力学变化序列。
Am Rev Respir Dis. 1989 Nov;140(5):1486-9. doi: 10.1164/ajrccm/140.5.1486.

鼻中隔明显偏曲且拟行鼻中隔成形术患者的肺动脉压

Pulmonary artery pressure in patients with markedly deviated septum candidate for septorhinoplasty.

作者信息

Hassanpour Seyed Esmail, Moosavizadeh Seyed Mehdi, Fadaei Araghi Mohsen, Eshraghi Bahram

机构信息

Department of Plastic and Reconstructive Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran;

Department of Cardiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

World J Plast Surg. 2014 Jul;3(2):119-21.

PMID:25489535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4236997/
Abstract

BACKGROUND

The nasal septal deviation (NSD) is one of the major causes of nasal obstruction. This condition increases upper airway resistance. In This study we evaluated the mean pulmonary artery pressure (MPAP) in patients with markedly deviated septum.

METHODS

Sixty two patients with NSD (Age range: 26-45 years, 34 men and 28 women) were included in the study. Mean pulmonary artery pressure was measured in preoperative period by Doppler echocardiography with the assistance of an expert cardiologist.

RESULTS

The mean preoperative MPAP value (22.5 mmHg in men and 20.03 mmHg in women) of the patients in this study was higher than normal population (20 mmHg). The MPAP of nine patients (14.5%) was greater than 25 mmHg. This value was significantly higher than values for normal population.

CONCLUSION

Markedly deviated septum had improper effects in cardiovascular system due to increase in MPAP.

摘要

背景

鼻中隔偏曲（NSD）是鼻阻塞的主要原因之一。这种情况会增加上呼吸道阻力。在本研究中，我们评估了鼻中隔明显偏曲患者的平均肺动脉压（MPAP）。

方法

本研究纳入了62例鼻中隔偏曲患者（年龄范围：26 - 45岁，男性34例，女性28例）。术前在专业心脏病专家的协助下，通过多普勒超声心动图测量平均肺动脉压。

结果

本研究中患者的术前平均MPAP值（男性为22.5 mmHg，女性为20.03 mmHg）高于正常人群（20 mmHg）。9例患者（14.5%）的MPAP大于25 mmHg。该值显著高于正常人群的值。

结论

由于MPAP升高，明显偏曲的鼻中隔对心血管系统有不良影响。