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微创心脏直视手术中肺功能变化的研究
引用本文:樊凌云,李元,马捷. 微创心脏直视手术中肺功能变化的研究[J]. 临床医药实践, 2003, 12(1): 11-13
作者姓名:樊凌云  李元  马捷
作者单位:1. 山西医科大学第二医院,山西,太原,030001
2. 大同市新荣区人民医院,山西,大同,037000
摘    要:目的 :探讨微创心内直视手术期间肺通气功能的变化。方法 :对 15例择期心脏手术患者在麻醉手术期间及体外循环前后 ,采用旁气流呼吸监测的方法测定通气功能的变化。结果 :气道峰压 (Ppeak)在体外循环 (CPB)前 5 m in始增高 (P<0 .0 1) ;胸肺顺应性在 CPB前 5 min开始下降 ((P<0 .0 5 ) ,手术结束时恢复至基础值水平。结论 :微创心脏直神手术后肺通气功能有一定程度损伤

关 键 词:微创心脏手术  体外循环  肺功能
文章编号:1671-8631(2003)01-0011-03
修稿时间:2002-06-11

Changes of pulmonary ventilatory function during minimally open heart surgery
FAN Ling-yun ,Li Yuan ,MA Jie. Changes of pulmonary ventilatory function during minimally open heart surgery[J]. Proceeding of Clinical Medicine, 2003, 12(1): 11-13
Authors:FAN Ling-yun   Li Yuan   MA Jie
Affiliation:FAN Ling-yun 1,Li Yuan 2,MA Jie 1
Abstract:Objective:To observe the changes of the pulmonary ventilation function during minimally invasive cardiac surgery under cardiopulmonary bypass (CPB).Methods:Fifteen patients undergoing cardiac operation were selected.The pulmonary function was measured with side stream spirometer.Results:P peak had significant changes 5 min before CPB ( P <0.01).The total lung compliance increased 5 min before CPB ( P <0.05),but returned to the baseline after the closure of insicion.Conclusion:The pulmonary ventilatory function is reduced to some degree after CPB and cardiac operation.
Keywords:minimally heart surgery  CPB  respiratory function tests
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