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[先天性心脏缺陷患者术后即刻肺部的力学特性]

[The mechanical properties of the lungs in patients with congenital heart defects in the immediate postoperative period].

作者信息

Zatevakhina M V, Nikitin E S, Tskhovrebov S V, Makrushin I M, Suvorova G Iu, Safonova E M

出版信息

Anesteziol Reanimatol. 1998 Jul-Aug(4):6-10.

PMID:9770809
Abstract

Static compliance and inspiratory resistance were assessed in 218 patients aged over 3 years after open-heart surgery for correction of congenital heart disease during the immediate postoperative period without complications. Cst in the immediate postoperative period in patients with Fallot's tetralogy, intraventricular septum defect, intraatrial septum defect, and incomplete form of atrioventricular communication was higher than in patients operated on for Fallot's tetralogy with a previous systemic-pulmonary anastomosis and pulmonary artery atresia, whereas Rinsp was virtually the same in all groups. Age-specific differences were noted. The data are recommended for use as reference values in stress.

摘要

在218例3岁以上先天性心脏病开胸手术后无并发症的患者术后即刻评估静态顺应性和吸气阻力。法洛四联症、室间隔缺损、房间隔缺损和不完全房室通道患者术后即刻的静态顺应性高于曾行体肺吻合术和肺动脉闭锁的法洛四联症手术患者,而所有组的吸气阻力实际上相同。观察到了年龄特异性差异。建议将这些数据用作应激时的参考值。

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