第五十七章：肺动脉导管影响非心脏手术病人的预后吗？
Chapter 57 - Does a Pulmonary Artery Catheter Influence Outcome in Noncardiac Surgery?
通过肺动脉导管记录心输出量(CO)、肺毛细血管楔压(PCWP)和中心静脉压(cvp)。
Cardiac output (CO), PCWP and CVP were measured with pulmonary artery catheter.
此外，在此类手术中应考虑应用中央静脉导管或肺动脉导管等侵入性监测仪器当作评估术中输液的指引。
Comprehensive monitoring of hemodynamic parameters, such as with central venous catheter or pulmonary catheter in this sort of surgery should be established for drastic fluid management.
漂浮导管和桡动脉导管用于监测心输出量，肺动脉压和动脉血压。
Swan-Ganz catheter and radial artery catheter were used to monitor the cardiac output, pulmonary arterial pressure, and arterial blood pressure.
A组采用改良的右心导管测定法测定肺动脉平均压、右心室收缩压、右心室舒张压。
The MPAP, RVSP, RVDP were determined by modified rig ht heart catheterization in group A.
目的介绍巨大动脉导管未闭合并重度肺动脉高压的一种改良术式及其可行性、安全性和适应症。
Objective to introduce modified operation of patent arterial duct complicated with severe pulmonary hypertension and to study its feasibility, safety and indications.
主要叙述了利用漂浮导管检测系统检测心输出量并直接测量中心静脉压、肺动脉楔入压的硬件、接口设计原理。
This Paper mainly presents the principle of hardware and interface of the detecting system, this system is used to detect cardiac output, central venous pressure, pulmonary artery pressure directly.
采用右心导管法测定肺动脉压；
Pulmonary arterial pressure ( PAP ) was measured by right heart catheterization.
肺动脉压力经典的测量方法是通过右心导管检查术，肺动脉高压其诊断的金标准也是有创性右心导管检查法。
The classic measurement of the pressure of pulmonary artery is by cardiac catheter of right heart, and the gold standard of PAH is also this method.
且应与动脉导管未闭、主动脉肺动脉间隔缺损，空间隔缺损并主动脉瓣闭锁不全相鉴别。
Ruptured aneurysm of aortic sinus should be differentiated from patient ductus arteriosus, aertopulmonary septal defect and ventricular septal defect with aortic insufficiency.
目的研究经导管肺动脉局部溶栓加抗凝治疗在急性肺栓塞性肺动脉高压的作用。
Objective To investigate local thrombolysis and anticoagulation by catheter in the treatment of acute thromboembolic pulmonary hypertension.
其中经皮导管介入治疗肺动脉溶栓术6例，下腔静脉滤网植入术5例。
The thrombus was dissolved through percutaneous catheter in 6cases, and through the filter placed in the inferior caval vein in 5cases.
方法：19例感染性休克患者在抢救中接受肺动脉漂浮导管的临床监测，将其结果与病人的转归进行对照分析。
Methods: Hemodynamics were monitored by means of SwanGanz catheter during intensive treatment in 19 patients with septic shock.
目的与有创的导管法对照，评价多普勒超声心动图法测定肺动脉高压患者肺动脉收缩压的可靠性和存在的问题。
AIM to evaluate the reliability of Doppler echocardiography in assessing pulmonary systolic pressure and analyze the problems compared with the right heart catheterization.
材料和方法：对12例合并PH的先心病患儿行右心导管检查的同时进行肺动脉IVUS成像。
Materials and Methods: IVUS and cardiac catheterization were undertaken in 12 children with CHD and PH.
目的研究经导管肺动脉局部溶栓与外周静脉全身溶栓在急性肺栓塞性肺动脉高压治疗中的作用。
Objective To compare local thrombolysis by catheter and systemic thrombolysis by venous in treatment of acute thromboembolic pulmonary hypertension.
结果6例患者经造影证实其肺动脉内均有大块状血栓栓塞，经导管、导丝碎栓治疗后，5例患者痊愈。
Results Emboli in pulmonary arteries were confirmed by pulmonary arteriography in all 6 cases, of whom, 5 were cured by interventional therapy.
经未闭动脉导管造影可显示左、右肺动脉连接处隔膜状狭窄。
It could show the membranous stenosis at the junction of left and right pulmonary artery by angiography through the patent ductus arteriosus.
方法对6例肺动脉分支起源异常患者的超声心动图诊断及心导管检查结果进行对比分析。
Methods Echocardiographic findings were compared with angiographic results in6 patients with anomalous origin of pulmonary arterial branch.
通过漂浮导管输注硝酸甘油还可以判断肺动脉小动脉对其反应情况以判断病情进展的程度和预后。
Nitroglycerine infusion can be given via the PA floatation catheter, and an assessment of the response to the drug can be done, in order to monitor the progress and assess the prognosis.
其他几个重要的导管依赖型病变：主动脉缩窄、左心发育不全综合征、肺动脉闭锁。
A few other important DUCTAL-DEPENDENT lesions: Coarctation of the Aorta, Hypoplastic Left Heart Syndrome, and Pulmonary Atresia.
应用漂浮导管监测前列腺素E1（PGE1）对11例以二尖瓣狭窄为主的风湿性心脏病合并肺动脉高压患者的体循环和肺循环的血液动力学作用。
The hemodynamic effects of prostaglandin E1(PGE1)on pulmonary and systemic circulations were studied in 11 patients with rheumatic mitral disease complicated by pulmonary hypertension.
多排CT（MSCT）已替代核医学及经导管肺动脉造影成为肺栓塞的首要检查技术。
Multi-slice CT (MSCT) has become the first modality for imaging diagnosis of pulmonary embolism (PE) instead of nuclear medicine and transcatheter pulmonary angiography.
方法对38例急性肺动脉栓塞的病人，经肺动脉造影明确诊断，通过旋转猪尾导管碎栓、抽吸导管抽吸和局部溶栓来开通肺动脉。
Methods 38 cases were diagnosed pulmonary embolism by pulmonary angiography, treated by thrombus fragmentation and suction by cathethers, and local fibrinolysis.
绝大多数先天性动脉导管未闭症可做常规闭合术，但对少部分合并重度肺动脉高压者将冒极大风险。
Majority of the cases with congenital PDA can be operated on with routine technique, but it will be very dangerous for some patients complicated with severe pulmonary hypertension.
材料和方法：CT和导管法肺动脉造影证实的慢性肺栓塞13例，其中伴咯血7例（男性1例，女性6例）。
Materials and Methods:13cases of PE identified by CTPA and pulmonary angiography, 7cases, 1male and6femals, with hemoptysis.
在儿童期以经心导管放置血管支架，对外科手术不合适的周边肺动脉狭窄，是可以接受的治疗方法。
Transcatheter placement of the stent is a feasible and effective method to treat certain patients with significant pulmonary arterial stenosis if surgical correction can not be performed.
方法总结外科治疗动脉导管未闭117例，其中合并肺动脉高压42例，合并心血管病变34例。
Methods The surgical treatments for 117 patients with PDA were reviewed, of which, 42 cases accompanied with pulmonary hypertension, 34 with intracardiac malformation.
肺动脉发育好，肺血由一粗大的动脉导管供给者9例；
The pulmonary arteries were well developed, with the pulmonary blood flow supplied principally by a large patent ductus arteriosus (PDA) in 9 patients;
肺动脉发育好，肺血由一粗大的动脉导管供给者9例；
The pulmonary arteries were well developed, with the pulmonary blood flow supplied principally by a large patent ductus arteriosus (PDA) in 9 patients;
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