摘要
目的:研究肘静脉压监测在起搏器患者术后预防出血的应用。方法:310例起搏器手术患者返回监护室后,常规监测右侧肘静脉压。结果:合并高血压及心衰的患者外周静脉压高占65.3%,外周静脉压高的患者出血阳性占12.4%,P<0.01。结论:合并高血压及心衰的患者外周静脉压高,而外周静脉压高的患者出血率高。凡合并高血压及心衰的患者术后应该常规测量外周静脉压,外周静脉压高是出血的独立危险因素。
Objective：To investigate the predictive value of elbow venous pressure monitoring on postoperative bleeding in the patients with pacemakers implantation. Methods：310 patients with pacemaker implantation underwent routine monitoring of right elbow venous pressure after returning to the intensive care unit. Results：The patients with higher peripheral venous pressure accounted for 65.3% of the patients with complication of high blood pressure and heart failure, while the patients with postoperative bleeding accounted for 12.4% of the patients with higher peripheral venous pressure（P〈0.01）. Conclusion：The patients with high blood pressure and heart failure will have higher peripheral venous pressure, while the patient with higher venous pressure will have a higher rate of bleeding. Peripheral venous pressure monitoring should be a routine work in the patients with complication of high blood pressure and heart failure. Higher peripheral venous pressure may possibly be an independent risk factor for bleeding.
出处
《现代医药卫生》
2009年第7期1006-1007,共2页
Journal of Modern Medicine & Health
关键词
肘静脉压监测
起搏器
预防出血
Elbow venous pressure monitoring
Pacemaker implantation
Bleeding
