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先天性心脏病围术期血流动力学监测方法
引用本文:李泉林,张辉,欧阳川,李稼,罗毅. 先天性心脏病围术期血流动力学监测方法[J]. 中国小儿急救医学, 2017, 0(8): 616-620. DOI: 10.3760/cma.j.issn.1673-4912.2017.08.012
作者姓名:李泉林  张辉  欧阳川  李稼  罗毅
作者单位:1. 首都儿科研究所附属儿童医院心脏外科, 北京,100020;2. 首都医科大学附属北京安贞医院麻醉中心, 北京,100020;3. 首都儿科研究所临床病理生理研究室, 北京,100020
摘    要:血流动力学监测是先天性心脏病围术期的重要监测手段,对于指导临床治疗非常重要.目前,监测血流动力学的方法有多种,有创性的方法包括直接Fick法、Swan-Ganz导管的热稀释法及脉搏波形法;无创性的方法包括部分二氧化碳重复吸收法、生物阻抗法等方法.本文将对几种监测方法各自的原理,优缺点进行综述.

关 键 词:血流动力学  先天性心脏病  围术期  监测方法

Perioperative hemodynamic monitoring in children with congenital heart disease undergoing cardiopulmonary bypass
Li Quanlin,Zhang Hui,Ouyang Chuan,Li Jia,Luo Yi. Perioperative hemodynamic monitoring in children with congenital heart disease undergoing cardiopulmonary bypass[J]. Chinese Pediatric Emergency Medicine, 2017, 0(8): 616-620. DOI: 10.3760/cma.j.issn.1673-4912.2017.08.012
Authors:Li Quanlin  Zhang Hui  Ouyang Chuan  Li Jia  Luo Yi
Abstract:Hemodynamic monitoring is an essential part in the care of children with congenital heart disease during perioperative period to guide clinical management.Currently,there are several methods available for hemodynamic monitoring.The invasive methods include the Fick method,thermodilution method,using the Swan-Ganz catheter and the pulse contour method.The noninvasive methods include partial carbon dioxide resorption,impedance method.In this paper,the principle,advantages and disadvantages of these monitoring methods in children undergoing cardiopulmonary bypass surgery were reviewed.
Keywords:Hemodynamic  Congenital heart disease  Perioperative  Monitoring method
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