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中心静脉压升高:即将发生右侧心力衰竭?

Rising Central venous pressure: Impending right-sided failure?

作者信息

Raut Monish S, Maheshwari Arun, Desurkar Vinayak, Bhavsar Rajesh

机构信息

Department of Cardiac Anesthesiology, Sir Ganga Ram Hospital, New Delhi, India.

Department of Cardiac Anesthesiology, Deenanath Mangeshkar Hospital, Pune, Maharashtra, India.

出版信息

Ann Card Anaesth. 2017 Oct-Dec;20(4):440-441. doi: 10.4103/aca.ACA_92_17.

DOI:10.4103/aca.ACA_92_17
PMID:28994680
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5661314/
Abstract

Central venous pressure generally indicates right sided cardiac filling pressure. Although it is a static hemodynamic parameter, however trend of CVP gives important information regarding the patient's management. Patient with left ventricular assist device is prone to develop right ventricular dysfunction which can easily be suspected by trend of CVP. However rising CVP does not always imply right heart dysfunction.

摘要

中心静脉压通常反映右心的充盈压。虽然它是一个静态血流动力学参数,但其变化趋势能为患者的治疗提供重要信息。植入左心室辅助装置的患者容易发生右心室功能障碍,通过中心静脉压的变化趋势可轻易怀疑这一情况。然而,中心静脉压升高并不总是意味着右心功能不全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8155/5661314/b164e302c28d/ACA-20-440-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8155/5661314/9bce51f21fd5/ACA-20-440-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8155/5661314/b164e302c28d/ACA-20-440-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8155/5661314/9bce51f21fd5/ACA-20-440-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8155/5661314/b164e302c28d/ACA-20-440-g002.jpg

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Is measurement of central venous pressure required to estimate systemic vascular resistance? A retrospective cohort study.是否需要测量中心静脉压来估计体循环阻力?一项回顾性队列研究。
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Fluctuations of driving pressure during mechanical ventilation indicates elevated central venous pressure and poor outcomes.

本文引用的文献

1
Are right ventricular risk scores useful?右心室风险评分是否有用?
Eur J Cardiothorac Surg. 2012 Oct;42(4):621-6. doi: 10.1093/ejcts/ezs104. Epub 2012 Apr 19.
2
Risk factors predictive of right ventricular failure after left ventricular assist device implantation.左心室辅助装置植入术后预测右心衰竭的危险因素。
Am J Cardiol. 2010 Apr 1;105(7):1030-5. doi: 10.1016/j.amjcard.2009.11.026. Epub 2010 Feb 13.
机械通气期间驱动压力的波动表明中心静脉压升高及预后不良。
Pulm Circ. 2020 Nov 25;10(4):2045894020970363. doi: 10.1177/2045894020970363. eCollection 2020 Oct-Dec.