CAJ | 학술논문

目的：探讨心脏手术体外循环（ CPB）前后桡动脉压与股动脉压力的变化规律。方法监测50例心脏手术患者切皮前、CPB停机5 min、1 h、2 h、4 h和8 h等不同时点的桡动脉和股动脉平均压以及心指数（ CI）、体循环阻力指数（ SVRI）、中心静脉压（CVP）。结果在CPB前所有患者桡动脉与股动脉平均压比较无明显差异，而在CPB停机早期有7例患者桡动脉平均压小于股动脉平均压且超过10 mm Hg，个别患者超过20 mm Hg。结论心脏手术CPB后早期，在有些患者桡动脉压力低估了中心动脉的压力，而股动脉压力更能反映中心动脉的压力。
목적：탐토심장수술체외순배（ CPB）전후뇨동맥압여고동맥압력적변화규률。방법감측50례심장수술환자절피전、CPB정궤5 min、1 h、2 h、4 h화8 h등불동시점적뇨동맥화고동맥평균압이급심지수（ CI）、체순배조력지수（ SVRI）、중심정맥압（CVP）。결과재CPB전소유환자뇨동맥여고동맥평균압비교무명현차이，이재CPB정궤조기유7례환자뇨동맥평균압소우고동맥평균압차초과10 mm Hg，개별환자초과20 mm Hg。결론심장수술CPB후조기，재유사환자뇨동맥압력저고료중심동맥적압력，이고동맥압력경능반영중심동맥적압력。
Objective To evaluate the difference between femoral and radial artery pressure associated with cardiopulmonary by-pass (CPB). Methods The pressure of femoral and radial artery, cardiac output, systemic vascular resistance index, centre vein pres-sure in 50 patients were monitored during heart operation with CPB at different time points. Results There was no statistically difference between the femoral and radial aretery pressure before CPB, but at the early time after CPB, the radial artery pressure was lower than femoral artery pressure over 10 mmHg in 7 patients. Conclusion During the early time after CPB, the radial artery pressure maybe de-value the centre pressure in some patients, and at this time, the femoral artery pressure can reflect the centre pressure more accurately.