NO吸入和静滴二硝酸异山梨醇对心衰患者急性血液动力学的对比观察

被引：2

作者：

袁祖贻

刘娟

刘治全

刘昀

魏瑾

刘艳

王文茂

杨鼎颐

机构：

[1] 西安医科大学第一临床医学院心内科

来源：

中国急救医学 | 1998年 / 01期

关键词：

一氧化氮; 二硝酸异山梨醇; 血液动力学; 心力衰竭;

D O I：

暂无

中图分类号：

R541.6 [血液循环衰竭];

学科分类号：

1002 ; 100201 ;

摘要：

目的:探讨低浓度一氧化氮(NO)吸入在充血性心力衰竭(CHF)中的应用价值。方法:对比观察了15例CHF患者NO吸入和二硝基异山梨醇静滴(Iso)后的急性血液动力学效应。结果:NO吸入和Iso静滴均能使平均右房压(mRAP)。平均肺动脉压(mPAP)及肺嵌压(PCWP)下降,心脏指数(CI)升高;与Iso相比,N0吸入选择性地降低肺总阻力(PCR)及肺小动脉阻力(PAR),且其作用较Iso显著;NO吸入不影响体循环压力及体循环阻力(SVR)。结论:NO吸入对CHF患者具有良好的血液动力学效应,可改善心脏作功能力。

引用

页码：15 / 17

页数：3

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