胸腔溢液是右心室透静崩的原因之一
1Department of Medicine, Bowman Gray School of Medicine, Winston-Salem, NC 27157-1045.
Circulation
|August 1, 1992
概括
大量的多流液可以通过引起右心室透静性崩 (RVDC) 来模仿心脏吸管. 这项研究表明,RVDC可以发生在肺流中,这可能导致错误诊断和错误的心脏吸管治疗.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 右心室透静性崩 (RVDC) 是心脏吸管的非侵入性回声心脏学标志物.
- 大量的双侧多流可以提高心内周心压力.
- 这可能导致心脏吸管的错误阳性诊断.
研究的目的:
- 为了调查是否大型的肺流可以诱导RVDC.
- 为了确定从肺部溢出中产生的RVDC是否模仿心脏吸管.
- 为了区分由肺流和心周流引起的RVDC.
主要方法:
- 七只狗使用仪器测量血液动力学参数.
- 引发RVDC的方法是将盐水注入心周空间,然后输入腔空间.
- 监测RVDC发病的二维回声心脏图.
主要成果:
- 对于两种输出类型,RVDC发生在类似的心脏内和右心房压力.
- RVDC的发作发生在呼吸过程中与心周和呼吸过程中与胸腔排泄.
- 胸腔输液比心周输液更好地保持心脏输出和大动脉压力.
结论:
- 大量的双侧多流可以提高心内周心压力,导致RVDC.
- 这一发现可能导致心脏坦波纳德的错误阳性诊断.
- 错误诊断可能导致不适当的治疗干预.
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