肺移植中使用肺前和经肺热稀释有创血流动力学监测的经验

A. M. Talyzin, S. Zhuravel, M. Khubutiya, E. Tarabrin, N. K. Kuznetsova
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引用次数: 0

摘要

目的:探讨肺前热稀释(PPTD)和经肺热稀释(TPTD) - PiCCO -复合血流动力学监测在肺移植(LTx)中的应用经验。材料和方法。提出了一个临床病例研究的51岁的病人,以下诊断:严重支气管扩张和3型呼吸衰竭。双侧肺移植在莫斯科斯克利福索夫斯基急诊医学研究所进行。术中血流动力学监测采用PPTD和TPTD技术。本案例研究表明,肺移植期间同时使用PPTD和TPTD进行血流动力学监测可获得更好的治疗效果。这种血流动力学监测策略信息量很大,可以连续测量必要的血流动力学参数,并通过影响心血管疾病的基本发病机制,及时、有针对性地纠正已发现的疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Experience in the use of invasive hemodynamic monitoring using prepulmonary and transpulmonary thermodilution in lung transplantation
Objective: to demonstrate the experience of using complex hemodynamic monitoring by means of prepulmonary thermodilution (PPTD) and transpulmonary thermodilution (TPTD) - PiCCO - in lung transplantation (LTx).Materials and methods. Presented is a clinical case study of a 51-year-old patient with the following diagnosis: severe bronchiectasis and type 3 respiratory failure. Bilateral lung transplantation was performed at Sklifosovsky Research Institute for Emergency Medicine, Moscow. Intraoperative hemodynamic monitoring was performed using PPTD and TPTD techniques.Conclusion. The case study presented shows that simultaneous use of PPTD and TPTD for hemodynamic monitoring during lung transplantation achieves better treatment outcomes. This hemodynamics monitoring strategy is highly informative, allows for continuous measurement of necessary hemodynamic parameters and for timely and targeted correction of identified disorders by influencing the basic pathogenesis links of cardiovascular disease.
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