| 心脏移植中右心功能不全的预防和处理 |
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| 引用本文： | 张东升,姬尚义,王小雷,杨建安,陈伟新.心脏移植中右心功能不全的预防和处理[J].广州医学院学报,2006,34(5):11-13. |
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| 作者姓名： | 张东升 姬尚义 王小雷 杨建安 陈伟新 |
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| 作者单位： | 深圳市孙逸仙心血管医院,广东,深圳,518001 |
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| 摘 要： | 目的:探讨心脏移植手术中造成右心功能不全的原因及其防治方法.方法:11例实施同种异体原位心脏移植手术病人监测围手术期肺动脉压力、肺循环阻力、中心静脉压和右心功能.预防性给予前列腺素E1,术后吸入NO.结果:本组病例无死亡,11例病人术中肺动脉压力有所下降,中心静脉压均有不同程度升高,1例病人出现右心功能不全表现.结论:术前正确评估肺动脉压力和右心功能,采取综合措施积极有效地降低肺动脉压,减轻右心负荷是避免或减轻右心功能不全的关键.
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| 关 键 词： | 心脏移植 高血压 肺性 心室功能障碍 右 |
| 文章编号： | 1008-1836(2006)05-0011-03 |
| 收稿时间： | 01 18 2006 12:00AM |
| 修稿时间： | 2006年1月18日 |
Prevention and Treatment of Right Graft Heart Dysfunction after Heart Transplantation |
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| ZHANG Dong-sheng,JI Shang-yi,WANG Xiao-lei,YANG Jian-an,CHEN Wei-xin.Prevention and Treatment of Right Graft Heart Dysfunction after Heart Transplantation[J].Academic Journal of Guangzhou Medical College,2006,34(5):11-13. |
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| Authors: | ZHANG Dong-sheng JI Shang-yi WANG Xiao-lei YANG Jian-an CHEN Wei-xin |
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| Institution: | Sun Yat-sen Cardiovascular Hospital, Shenzhen, Guangdong 518001, China |
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| Abstract: | Objective:To explore the cause and management of right graft heart dysfunction after transplantation.Methods:11 patients with end-stage dilated cardicomyopathy underwent orthotopic heart transplantation.Pulmonary arterial pressure(PAP),pulmonary vascular resistance(PVR),central vein pressure(CVP) and right graft heart function were monitored by Swan-Ganz catheter during the operation.Prostaglandin E1 was administered slowly via Swan-Ganz catheter before transplantation and inhaled NO postoperation.Results:Pulmonary arterial pressure of all patients decreased to a certain extent.One patient appeared right graft heart dysfunction and nobody died.Conclusion:Proper evaluation of preoperative status of PAP and right heart performance,in combination of aggressive reduction of PAP and right heart burden,may critically contribute to prevention or amelioration of graft heart. |
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| Keywords: | heart transplantation hypertension pulmonary ventriculan dysfunction right |
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