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[术后肺部并发症中肺毛细血管液体交换紊乱与呼吸力学的关系]

[Relationship of disorders of transcapillary fluid exchange in the lungs and respiratory mechanics in postoperative pulmonary complications].

作者信息

Timerbaev V Kh, Bondarenko A V, Tugarinov S A

出版信息

Anesteziol Reanimatol. 1997 May-Jun(3):65-8.

PMID:9289993
Abstract

The central hemodynamics, external respiration function, and transcapillary liquid exchange in the lungs were assessed in 23 patients operated on the lungs and in 18 subjected to open heart surgery. The content of extravascular liquid in the lungs was increased during the first hours postoperation in the patients with a complicated course of the postoperative period, in contrast to those with an uneventful course thereof. Disorders of transcapillary liquid exchange did not depend on the status of the central hemodynamics and probably reflected the increased permeability of the alveolocapillary membrane.

摘要

对23例肺部手术患者和18例心脏直视手术患者的肺中心血流动力学、外呼吸功能及肺毛细血管液体交换进行了评估。与术后病程平稳的患者相比,术后病程复杂的患者在术后最初数小时内肺血管外液体含量增加。肺毛细血管液体交换紊乱并不取决于中心血流动力学状态,可能反映了肺泡毛细血管膜通透性增加。

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