HEMODYNAMIC-CHANGES DURING WHOLE BRONCHOALVEOLAR LAVAGE IN 2 CASES OF PULMONARY ALVEOLAR PROTEINOSIS

被引:10
作者
AGUINAGA, MAG
SANTOS, P
RENES, E
ALVARO, PF
LORENTE, JA
MAUDES, A
DIAZ, RR
LANDIN, L
LISTE, D
机构
[1] RAMON & CAJAL HOSP,SERV INTENS CARE MED,MADRID,SPAIN
[2] RAMON & CAJAL HOSP,DEPT PULM MED,MADRID,SPAIN
关键词
PULMONARY ALVEOLAR PROTEINOSIS; BRONCHOALVEOLAR LAVAGE; PULMONARY CIRCULATION;
D O I
10.1007/BF01720681
中图分类号
R4 [临床医学];
学科分类号
1002 [临床医学]; 100602 [中西医结合临床];
摘要
Five whole bronchoalveolar lavages were performed in 2 patients with pulmonary alveolar proteinosis with continuous monitoring of mixed venous and arterial oxygen saturation. Hemodynamic parameters and gas-exchange status were measured during the different phases of the lavage. In the phase of filled lung, a significant increase of arterial partial pressure (PaO2) and arterial saturation of oxygen were observed, secondary to a decrease in the intrapulmonary shunt. The mean pulmonary arterial pressure, pulmonary vascular resistances and cardiac index were higher during the filling of the lung as compared to the controls. During the empty lung phase, although PaO2 decreased (without reaching statistical significance), due to an increase in the intrapulmonary shunt, the increase in cardiac output during this phase left the oxygen delivery (DO2) unchanged.
引用
收藏
页码:421 / 423
页数:3
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