Coriat P, Daloz M, Riche F, Perez G, Barakat T, Viars P, Echter E
Presse Med. 1983 Jun 11;12(25):1591-4.
In order to evaluate the incidence of myocardial ischaemia in patients who developed acute pulmonary oedema during the immediate post-operative period, continuous monitoring of the electrocardiogram by the Holter method was used in 200 consecutive patients with coronary artery disease. Fourteen of these patients exhibited ST segment depression during the post-operative period and 13 during surgery. Nine patients developed acute pulmonary oedema immediately after the operation and in 7 cases the oedema was preceded by myocardial ischaemia. A continuous nitroglycerin infusion brought about regression of the pulmonary oedema in 8 cases. One patient died despite treatment. These findings underline the part played by myocardial ischaemia in the pathogenesis of acute post-operative pulmonary oedema in patients with coronary artery disease.
为了评估术后即刻发生急性肺水肿的患者中心肌缺血的发生率，采用动态心电图监测法对200例冠心病患者进行了连续监测。其中14例患者在术后出现ST段压低，13例在手术过程中出现。9例患者术后即刻发生急性肺水肿，7例在肺水肿发生前出现心肌缺血。持续静脉输注硝酸甘油使8例患者的肺水肿消退。1例患者尽管接受了治疗仍死亡。这些发现强调了心肌缺血在冠心病患者术后急性肺水肿发病机制中的作用。
