血乳酸水平結(jié)合中心靜脈壓監(jiān)測在復(fù)雜先心病術(shù)后治療中的應(yīng)用價值-文庫吧
2024-12-23 00:28 本頁面
【正文】 oup I, in which only CVP was monitored after operation。 Group II, in which CVP and blood lactate level were both monitored. After operation, time of respirator assisted respiration and hospitalization, incidence rate of intrapulmonary infection, and mortality rate were all In Group I, the time of respirator assisted respiration after the operation was 177。 hours, the incidence rate of intrapulmonary infection was 7%, the average time of hospitalization was 177。 days, and the mortality rate was 6%. In Group II, however, the counterparts went down to 177。 hours, 3%, 177。 days and 2%, respectively. All of these figures indicated that Group II yielded obviously better results than Group I (P).Conclusion The monitoring of simultaneous CVP and blood lactate level gains advantage over the single monitoring of CVP in that it can be beneficial to plementing fluids, regulating post operation heart function, KKME專業(yè)醫(yī)學(xué)搜索引擎 monitoring myocardial tissue perfusion and improving infants39。 prognoses. Key words： lactate。 central venous pressure。 congenital heart disease 目前越來越多的先天性心臟病患兒接受了心臟手術(shù)。嬰幼兒體外循環(huán)心內(nèi)直視手術(shù)機體氧耗是決定最佳灌注流量的標(biāo)準，混合靜脈血氧飽和度 (SvO2)監(jiān)測可作為組織灌注是否充分的一個重要指標(biāo)，但它受氧合血紅蛋白解離曲線的影響，在溫度、 pH、二氧化碳分壓(PCO2)改變時， SvO2 有一定誤差，不能完全反應(yīng)機體組織實際代謝水平，這就給術(shù)后監(jiān)護帶來很大困難。中心靜脈壓正常值是針對于正常人正常心臟功能的，如果 將正常值用于心功能異常的患兒可能會出
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