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[大型术后腹疝患者的血流动力学变化]

[Hemodynamic changes in patients with large postoperative ventral hernias].

作者信息

Kakhnovskiĭ I M, Antropova N V, Solomatin A S, Markova Z S, Vdovina T I

出版信息

Klin Med (Mosk). 1994;72(3):50-2.

PMID:7990356
Abstract

Hemodynamic parameters have been analyzed in 68 inpatients with large postoperative ventral hernia. Most of the patients showed normodynamic circulation. The artificial rise of the intra-abdominal pressure in the course of the preoperative preparation induced hypodynamic response of the cardiovascular system. Early after the surgery, the patients had hypodynamic circulation. As compared to induced abdominal hypertension, this hypodynamia was less pronounced indicating adaptation of the cardiac activity to preoperative hypertension. This is confirmed by the absence of complications related to high intraabdominal pressure in early postoperative period.

摘要

对68例大型术后腹疝住院患者的血流动力学参数进行了分析。大多数患者表现为血流动力学正常的循环。术前准备过程中腹内压的人为升高引发了心血管系统的低动力反应。术后早期,患者出现低动力循环。与诱导性腹腔高压相比,这种低动力状态不太明显,表明心脏活动已适应术前高血压。术后早期无与高腹内压相关的并发症这一点证实了这一点。

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