| 经肺温度稀释法在肝及其与肾、胰、十二指肠联合移植围术期的应用研究 |
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| 引用本文： | 张鸿飞,徐世元,许平,梁启波,张新建,周健. 经肺温度稀释法在肝及其与肾、胰、十二指肠联合移植围术期的应用研究[J]. 实用医学杂志, 2006, 22(6): 640-642 |
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| 作者姓名： | 张鸿飞 徐世元 许平 梁启波 张新建 周健 |
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| 作者单位： | 510282,广州市,南方医科大学珠江医院麻醉科 |
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| 摘 要： | 目的:观察经肺温度稀释法(PiCCO技术)在肝及其与肾、胰、十二指肠联合移植手术围术期的应用情况,并与改良式肺动脉漂浮导管(CCO导管)比较反映心脏前负荷参数的有效性。方法:对2例实施肝移植,1例实施肝脏、胰腺、十二指肠移植术,1例实施肝肾联合移植术的患者进行研究,4例患者均为男性,年龄42～48岁,ASAⅢ～Ⅳ级。无PiCCO及CCO导管置入禁忌证。静脉注射咪唑安定、异丙酚、芬太尼、维库溴胺后经鼻气管插管。于麻醉诱导前、气管插管后、切皮、无肝前期、无肝期、新肝前期、新肝期、术毕及术后血流动力学发生变化时,通过温度稀释法同时测定PiCCO与CCO系列参数。结果:共测得数据135组,其中全心舒张末期容积指数(GEDI)与每搏量指数正相关(r=0.77,P<0.001),肺动脉阻塞压与GEDI相关(r=0.44,P<0.05),中心静脉压与GEDI不相关(r=0.24,P>0.05);两种方法心输出量指数结果对比差异无统计学意义(P>0.05)。SVI与GEDI之间Pearson相关系数为r=0.77(P<0.001)。结论:在上腹部单或多器官移植围术期应用PiCCO技术可准确测量心输出量,其所测量的全心舒张末期...
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| 关 键 词： | 器官移植 经肺温度稀释法 心脏前负荷 胸腔内血容积 中心静脉压 肺动脉阻塞压 |
| 收稿时间： | 2005-10-20 |
| 修稿时间： | 2005-10-20 |
Application of transpulmonary thermodilution method in patients undergoing liver or liver plus other organs transplantation |
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| ZHANG Hong-fei,XU Shi-yuan,XU Ping,LIANG Qi-bo,ZHANG Xin-jian,ZHOU Jian. Application of transpulmonary thermodilution method in patients undergoing liver or liver plus other organs transplantation[J]. The Journal of Practical Medicine, 2006, 22(6): 640-642 |
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| Authors: | ZHANG Hong-fei XU Shi-yuan XU Ping LIANG Qi-bo ZHANG Xin-jian ZHOU Jian |
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| Affiliation: | Department of Anesthesiology, Zhujiang Hospitol, Southern Medical University, Guangzhou 510282, China |
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| Abstract: | Objective To investigate the application of transpulmonary thermodilution method during the peri- operation of simultaneous orthotopic liver and heterotopic pancreas- duodenum transplantations, and compare the efficiency in monitoring the preload of heart with improved Swan- Ganz CCO- SvO2 method. Methods Four male patients (age: 42～ 48, ASA Ⅲ ～ Ⅳ ) were involved in the study: 2 had liver transplantation, 1 had liver and pancreas- duodenum transplantations and 1 had simultaneous liver and kidney transplanta... |
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| Keywords: | Oragen transplantation Transpulmonary thermodilution Cardiac preload Intrathoraeie blood volume Central venous pressure Pulmonary artery obstruction pressure |
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