心血管康复医学杂志
心血管康複醫學雜誌
심혈관강복의학잡지
JOURNAL OF CARDIOVASCULAR REHABILITATION MEDICINE
2014年
3期
283-287
,共5页
腹膜透析%心排血量,低%心脏缺损,先天性
腹膜透析%心排血量,低%心髒缺損,先天性
복막투석%심배혈량,저%심장결손,선천성
Peritoneal dialysis%Cardiac output,low syndrome%Heart defects,congenital
目的：观察腹膜透析治疗小儿先心病术后低心排血量综合征的疗效果。方法：61例先心病术后并发低心排血量综合征患儿，于腹膜透析前后以心脏超声测定心腔内径、左室射血分数、肺动脉压力变化，另测定中心静脉压、尿量、血气分析指标、血浆脑型利钠肽浓度评估腹膜透析的影响。结果：与治疗前相比，尿量[（203.28±15.81）ml比（989.11±54.72）ml]显著增多，左室射血分数显著提高[（32.94±2.29）％比（51.93±2.79）％]；而肺动脉压[（46.72±3.84）mmHg比（34.82±2.92）mmHg]、中心静脉压[（17.27±1.47）cmH2 O比（10.41±1.01）cmH2 O]，血浆脑型利钠肽水平[（5928.71±158.27）ng/ml比（3851.83±128.81）ng/ml]显著下降，P均＜0.001，。结论：腹膜透析可有效治疗先心病术后低心排血量综合征，这与其超滤、减轻心脏负担等作用有关。
目的：觀察腹膜透析治療小兒先心病術後低心排血量綜閤徵的療效果。方法：61例先心病術後併髮低心排血量綜閤徵患兒，于腹膜透析前後以心髒超聲測定心腔內徑、左室射血分數、肺動脈壓力變化，另測定中心靜脈壓、尿量、血氣分析指標、血漿腦型利鈉肽濃度評估腹膜透析的影響。結果：與治療前相比，尿量[（203.28±15.81）ml比（989.11±54.72）ml]顯著增多，左室射血分數顯著提高[（32.94±2.29）％比（51.93±2.79）％]；而肺動脈壓[（46.72±3.84）mmHg比（34.82±2.92）mmHg]、中心靜脈壓[（17.27±1.47）cmH2 O比（10.41±1.01）cmH2 O]，血漿腦型利鈉肽水平[（5928.71±158.27）ng/ml比（3851.83±128.81）ng/ml]顯著下降，P均＜0.001，。結論：腹膜透析可有效治療先心病術後低心排血量綜閤徵，這與其超濾、減輕心髒負擔等作用有關。
목적：관찰복막투석치료소인선심병술후저심배혈량종합정적료효과。방법：61례선심병술후병발저심배혈량종합정환인，우복막투석전후이심장초성측정심강내경、좌실사혈분수、폐동맥압력변화，령측정중심정맥압、뇨량、혈기분석지표、혈장뇌형리납태농도평고복막투석적영향。결과：여치료전상비，뇨량[（203.28±15.81）ml비（989.11±54.72）ml]현저증다，좌실사혈분수현저제고[（32.94±2.29）％비（51.93±2.79）％]；이폐동맥압[（46.72±3.84）mmHg비（34.82±2.92）mmHg]、중심정맥압[（17.27±1.47）cmH2 O비（10.41±1.01）cmH2 O]，혈장뇌형리납태수평[（5928.71±158.27）ng/ml비（3851.83±128.81）ng/ml]현저하강，P균＜0.001，。결론：복막투석가유효치료선심병술후저심배혈량종합정，저여기초려、감경심장부담등작용유관。
Objective:To observe the therapeutic effect of peritoneal dialysis on low cardiac output syndrome (LCOS) after surgery in children with congenital heart disease (CHD).Methods:A total of 6 1 CHD children complicated with LCOS after surgery were selected.Echocardiography was used to measure heart chamber diameter,left ven-tricular ejection fraction (LVEF)and pulmonary artery pressure etc.before and after peritoneal dialysis;and cen-tral venous pressure (CVP),urine volume,blood gas analysis indexes,plasma brain natriuretic peptide (BNP)con-centration were measured to evaluate influence of peritoneal dialysis.Results:Compared with before treatment, there were significant increase in urine volume [(203.28±15.81)ml vs.(989.11± 54.72)ml],LVEF [(32.94± 2.29)% vs.(51.93±2.79)%];and significant reduction in pulmonary artery pressure [(46.72±3.84)mmHg vs. (34.82±2.92)mmHg],CVP [(17.27±1.47)cm H2 O vs.(10.41±1.01)cm H2O]and plasma BNP level [(5928.71±158.27)ng/ml vs.(3851.83± 128.81)ng/ml],P<0.001 all.Conclusion:Peritoneal dialysis may ef-fectively treat low cardiac output syndrome after surgery in children with congenital heart disease,related with its effect of ultrafiltration and relieve cardiac burden.
