CAJ | 학술논문

目的：探讨肺手术患者术后胸腔内血容量指数（ ITBVI）、全心舒张末期容积指数（ GEDVI）与中心静脉压（ CVP）的相关性，研究肺手术后CVP用于评价肺手术后容量负荷的价值。方法 ASAⅠ～Ⅱ级行肺癌根治术患者23例，术后应用脉搏指示剂心排量连续监测（ PiCCO）技术监测患者脱机后（ T1）、拔管后（ T2）、拔管后2h（T3）、拔管后5 h（T4）、拔管后15 h（T5）的CVP、ITBVI、GEDVI，分析CVP与ITBVI、GEDVI的相关性。结果 CVP与GEDVI的相关系数为r＝-0．138（P＞0．05）； CVP与ITBVI r为-0．153（P＞0．05）。结论CVP不能反映肺手术后机体的容量状态，在容量监测与评估时要根据临床表现或增加其他监测手段。
목적：탐토폐수술환자술후흉강내혈용량지수（ ITBVI）、전심서장말기용적지수（ GEDVI）여중심정맥압（ CVP）적상관성，연구폐수술후CVP용우평개폐수술후용량부하적개치。방법 ASAⅠ～Ⅱ급행폐암근치술환자23례，술후응용맥박지시제심배량련속감측（ PiCCO）기술감측환자탈궤후（ T1）、발관후（ T2）、발관후2h（T3）、발관후5 h（T4）、발관후15 h（T5）적CVP、ITBVI、GEDVI，분석CVP여ITBVI、GEDVI적상관성。결과 CVP여GEDVI적상관계수위r＝-0．138（P＞0．05）； CVP여ITBVI r위-0．153（P＞0．05）。결론CVP불능반영폐수술후궤체적용량상태，재용량감측여평고시요근거림상표현혹증가기타감측수단。
Objective To investigate the correlation of central venous pressure ( CVP ) with intrathoracic blood volume index(ITBVI) and global end-diastolic volume index(GEDVI) after pulmonary lobectomy,and to dis-cuss the value of CVP as a parameter of volume load after pulmonary lobectomy .Methods Twenty-three cases of ASA I-II grade lung cancer who underwent radical resection were enrolled in the study .Pulse indicator continuous cardiac output ( PiCCO) monitoring technology was used to record their postoperative CVP ,GEDVI and ITBVI at the time of off-lining(T1),after tracheal extubation instantly(T2),2 hours after extubation(T3),5 hours after extubation ( T4 ) ,and 15 hours after extubation ( T5 ) .The correlation of CVP with ITBVI and GEDVI was analyzed .Results The correlation coefficient of CVP and GEDVI was equal to -0 .138 ( P>0 .05 ); The correlation coefficient of CVP and ITBVI was equal to -0.153(P>0.05).Conclusion CVP can not indicate the volume load of patients after pulmonary lobectomy .It should be based on the clinical features or using more monitoring techniques when performing load monitoring and evaluation .