| 心内直视手术不同术式肺功能变化 |
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| 引用本文： | 樊凌云,李元,马捷.心内直视手术不同术式肺功能变化[J].临床医药实践,2003,12(2):99-101. |
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| 作者姓名： | 樊凌云 李元 马捷 |
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| 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 |
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| 摘 要： | 目的 :探讨不同术式心内直视手术期间肺通气功能的变化。方法 :对 30例择期心脏手术患者随机分为纵断胸骨组和肋间小切口两组 ,在麻醉手术期间及体外循环前后 ,采用旁气流呼吸监测方法测定通气功能的变化。结果 :Ppeak在停体外循环 (CPB)后 10min始增高 (P <0 .0 1) ;胸肺顺应性在开胸后 5min开始下降 (P <0 .0 5 ) ,手术结束时恢复至基础值水平 ,两组间比较有统计学意义。结论 :不同术式心脏直视手术后肺通气功能有一定程度损伤
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| 关 键 词： | 心脏手术 体外循环 肺功能 |
| 文章编号： | 1671-8631(2003)02-0099-03 |
Changes of pulmonary ventilatory function between hemisternotomy incision and minimally open heart surgery |
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| FAN Ling yun ,LI Yuan ,MA Jie.Changes of pulmonary ventilatory function between hemisternotomy incision and minimally open heart surgery[J].Proceeding of Clinical Medicine,2003,12(2):99-101. |
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| Authors: | FAN Ling yun LI Yuan MA Jie |
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| Institution: | FAN Ling yun 1,LI Yuan 2,MA Jie 1 |
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| Abstract: | Objective:To observe the changes of the pulmonary ventilation function during open heart operation with different incision under cardiopulmonary bypass(CPB).Method:Thirty patients with artrial or ventricular septal defects were randomly allocated to 2 groups receiving:group 1 hemisternotomy incision.group 2:minimally invasive cardiac surgery.The pulmonary function was measured with side stream spirometer.Result:P peak had significant changes 10 min after 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 of two groups is both reduced to some degree after CPB and cardiac operation. |
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| Keywords: | heart surgery CPB respiratory function |
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