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[实验性诱发塞德拉里克氏肺栓塞后小型猪肺循环的血流动力学。II. 开胸手术对心脏和循环血流动力学的改变]

[The hemodynamics of the lung circulation of minipigs after experimentally-caused Sedlarik's pulmonary embolism. II. Modification of the hemodynamics of the heart and circulation by thoracotomy].

作者信息

Ebner E, Lesser T, Riedel E, wiener U

出版信息

Z Exp Chir Transplant Kunstliche Organe. 1989;22(6):347-50.

PMID:2623911
Abstract

The systolic, diastolic, and the mean arterial systemic blood pressure decreased after thoracotomy (by -12%). The systolic, diastolic, and the mean pulmonary arterial pressure showed an immediate decrease (by 25%). The central venous pressure was not changed. The cardiac output (HMV) and the stroke volume could not be measured before the thoracotomy. However, the HMV (+17%), the HMV-index (+30%), and the stroke volume (+60%) increased from the 10th to the 30th min after the thoracotomy. The heart rate decreased continuously (by -19%). The maximum rate of pressure rise (dp/dtmax) increased primarily insignificantly and decreased afterwards (by -10%). The quotient dp/dt/p decreased immediately (by -10%). All measures were carried out until the 30th min after thoracotomy.

摘要

开胸术后,收缩压、舒张压和平均动脉系统血压下降(下降了12%)。收缩压、舒张压和平均肺动脉压立即下降(下降了25%)。中心静脉压未发生变化。开胸术前无法测量心输出量(HMV)和每搏输出量。然而,开胸术后第10分钟至第30分钟,心输出量(HMV)增加了17%,心输出量指数增加了30%,每搏输出量增加了60%。心率持续下降(下降了19%)。最大压力上升速率(dp/dtmax)起初无显著增加,随后下降(下降了10%)。dp/dt/p比值立即下降(下降了10%)。所有测量均在开胸术后第30分钟前进行。

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