Pourriat J L, Hoang The Dan P, Lapandry C, Cupa M
Anesth Analg (Paris). 1981;38(3-4):147-53.
A right cardiac catheterism with a calculation of cardiac output by thermodilution method has been achieved on 40 chronic respiratory failure patients with acute outbreak. The results have been analysed according to the type of chronic pulmonary disease, obstructive (n = 24) or restrictive (n = 16), the number of out asphyxic outbreaks and the necessity of mechanical ventilation (VA). The mean pulmonary arterial pressure (PAP) is high (6.38 +/- 1.58 KPa) systolodiastolo gradient increases with the number of outbreaks (p less than 0.001). The cardiac index is low (2.32 +/- 0.57 1.mn(-1).m2(-1)) and the pulmonary capillary pressure (PCP) is high, specially during the obstructive syndromes. A high level of PAP during mechanical ventilation seems to be of poor prognosis. The authors compare these results to the literature.
对40例慢性呼吸衰竭急性发作患者进行了右心导管检查，并通过热稀释法计算心输出量。根据慢性肺部疾病的类型（阻塞性，n = 24；限制性，n = 16）、窒息发作次数和机械通气（VA）的必要性对结果进行了分析。平均肺动脉压（PAP）较高（6.38±1.58kPa），收缩舒张压差随发作次数增加（p<0.001）。心脏指数较低（2.32±0.571.mn（-1）.m2（-1）），肺毛细血管压（PCP）较高，尤其是在阻塞性综合征期间。机械通气时PAP水平较高似乎预后较差。作者将这些结果与文献进行了比较。
