CAJ | 학술논문

目的总结降低体表温度在体外循环后血管麻痹综合征中的应用效果.方法在调整血容量,应用大剂量缩血管药物基础上使用变温毯治疗血管麻痹综合征.记录不同时段患者的体表温度,记录心率、收缩压、平均动脉压、中心静脉压、血氧饱和度、尿量,体循环阻力(SVR)、肺循环阻力(PVR)和心输出量(CO)等指标,分析降低体表温度的应用效果.结果应用体表降温后血压升高,心率降低,SVR逐渐增高,尿量增加,中心静脉压、血氧饱和度无显著变化.结论降低体表温度可升高血压,减少缩血管药物的用量,在某些病例中可起到决定性作用.降低体表温度可作为治疗体外循环后血管麻痹综合征的辅助办法.
목적 총결강저체표온도재체외순배후혈관마비종합정중적응용효과.방법 재조정혈용량,응용대제량축혈관약물기출상사용변온담치료혈관마비종합정.기록불동시단환자적체표온도,기록심솔、수축압、평균동맥압、중심정맥압、혈양포화도、뇨량,체순배조력(SVR)、폐순배조력(PVR)화심수출량(CO)등지표,분석강저체표온도적응용효과.결과 응용체표강온후혈압승고,심솔강저,SVR축점증고,뇨량증가,중심정맥압、혈양포화도무현저변화.결론 강저체표온도가승고혈압,감소축혈관약물적용량,재모사병례중가기도결정성작용.강저체표온도가작위치료체외순배후혈관마비종합정적보조판법.
Objective To investigate the effects of induced hypothermia in vasoplegia syndrome after post-cardiopulmonary bypass.Methods 4 individuals diagnosed as CPB-induced vasoplegia syndrome was given hypothermia by surface cooling using hypo-hyperthermia blanket based on vasopressors and adjustment of blood volume.The surface temperature,heart rate,systolic pressure,mean arterial blood pressure,central venous pressure,oxygen saturation of blood,urine volume,systemic vascular resistance (SVR),pulmonary vascular resistance (PVR) and cardiac output (CO) were recorded.Results Systemic vascular resistance gradually improved along with normalization of cardiac output,and increased mean arterial blood pressure.Conclusions The mild hypothermia can increase blood pressure,decrease dosage of vasopressors,and may play a decisive role in some cases.So mild hypothermia may be an effec-tive alternative to treat CPB-induced vasoplegia syndrome.