急性心肌梗死时肺动脉压力的连续监测（作者译）

[Continuous monitoring of the pulmonary artery pressure in acute myocardial infarction (author's transl)].

作者信息

Nobis H, Hold M, Jobst C, Kiss E, Prachar H, Spiel R, Enenkel W

出版信息

MMW Munch Med Wochenschr. 1977 Jul 1;119(26):893-6.

Abstract

The method of continuous pulmonary artery pressure (PAP) monitoring and its use in 66 patients with acute myocardial infarction is described. Measurement of PAP should be the first diagnostic step in hemodynamic monitoring and early recognition of left ventricular failure. In cases of elevated PAP and critical general state of the patient, monitoring should be extended by measuring pulmonary wedge pressure and cardiac output. Hemodynamic monitoring should be continued for 3 to 5 days, since some cases of acute myocardial infarction with increasing PAP up to the 4th day after the onset were recorded. With the safety precautions mentioned, neither threatening, arrhythmia, nor thromboembolic or septic complications were observed.

摘要

本文描述了连续肺动脉压（PAP）监测方法及其在66例急性心肌梗死患者中的应用。PAP测量应是血流动力学监测和早期识别左心室衰竭的首要诊断步骤。在PAP升高且患者一般状况危急的情况下，应通过测量肺楔压和心输出量来扩展监测。血流动力学监测应持续3至5天，因为记录到一些急性心肌梗死病例在发病后第4天PAP仍在升高。采取上述安全预防措施后，未观察到威胁性情况、心律失常、血栓栓塞或感染性并发症。