摘要
目的：探讨心内直视手术病人围术期血气监测的临床意义，为诊断与治疗提供依据。方法：选择６０ 例心内直视手术病人，分为 ３ 组（各２０ 例）：Ⅰ组，肺血流增多型；Ⅱ组，肺淤血型；Ⅲ组，肺血流减少型。采用瑞士 Ａ Ｖ Ｌ９４７ 全自动血气分析仪，分别于手术前、麻醉后、转流中、转流停、拔管前从桡动脉抽血进行血气分析。结果：肺血流增多型病人肺氧合效果最好；肺淤血型， Ｐａ Ｏ２ 稍低，但仍在 １３．３３ ｋ Ｐａ（１００ ｍ ｍ Ｈｇ）以上；肺血流减少型氧合效果最差。转流中，３ 组病人 Ｐａ Ｏ２ 均在２６．６６ ｋ Ｐａ（２００ ｍ ｍ Ｈｇ）以上。结论：血气分析对术前心脏病诊断、术中监测体外循环灌注及术后呼吸管理具有重要价值。
Objective: To explore perioperative arterial blood gas analysis in patients with intracardiac operation in order to provide basis for diagnosis and treatment. Methods: Sixty cases were selected and divided into three groups,(n=20) Ⅰ. increased pulmonary blood flow;Ⅱ. pulmonary venous congestion;Ⅲ. decreased pulmonary blood flow. Blood samples were collected before operation, after anesthesia, during CPB, after CPB and extubation from radial artery respectively, and analysed immediately. Results: The PaO\-2 in arterial blood of group I was better than that of the other two groups. Conclusion: The blood gas analysis has important value in diagnosis, monitoring and administrating CPB and respiration.
出处
《新疆医科大学学报》
CAS
1999年第3期187-188,191,共3页
Journal of Xinjiang Medical University
关键词
心内直视术
围手术期
血气分析
open heart surgery
perioperation
blood gas analysis
CPB
