二尖瓣置换术患者的肺力学。监测顺应性和阻力的价值。

Lung mechanics in patients undergoing mitral valve replacement. The value of monitoring of compliance and resistance.

作者信息

Prakash O, Meij S, Bos E, Frederiksz P A, Hekman W, Jonson B

出版信息

Crit Care Med. 1978 Nov-Dec;6(6):370-2. doi: 10.1097/00003246-197811000-00005.

DOI:10.1097/00003246-197811000-00005

PMID:720098

Abstract

Measurements of compliance, resistance of the respiratory system, and left atrial pressure were made before, during, and after mitral valve replacement in 30 patients. Postoperatively left atrial pressures decreased, resistance decreased and compliance increased significantly. Monitoring and recordkeeping of lung mechanics were found to be useful in predicting the feasibility for extubation and as indicators of impending disasters, e.g., due to bleeding in the thoracic cavity.

摘要

对30例患者在二尖瓣置换术前、术中和术后进行了呼吸系统顺应性、阻力及左心房压力的测量。术后左心房压力降低，阻力降低，顺应性显著增加。发现对肺力学进行监测和记录有助于预测拔管的可行性，并作为即将发生灾难（如由于胸腔出血）的指标。