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mi gong shou shu hou xue jiang xin fang na niao zuo de bian hua ji qi lin chuang yi yi
Author(s): 
Pages: 52-54
Year: Issue:  S1
Journal: Academic Journal of Second Military Medical University

Keyword:  心房钠尿肽迷宫手术;
Abstract: 目的:了解迷宫手术后早期心房钠尿肽(ANP)的变化及其临床意义。方法:选择我院行迷宫手术+二尖瓣替换术及同期双瓣置换各8例,分别于术前晚,术后当日,术后1,3,7d抽取周围静脉血4ml,用放免方法测定血浆中ANP含量,同时用Swan-Ganz导管测定心排量,中心静脉压。并将两组体外循环时间进行比较。结果:迷宫手术后当日及第1天ANP明显降低,第3,7天开始回升,但仍未达到术前水平。结论:迷宫手术后早期,ANP因左右心耳被切除,手术创伤及缺血再灌注损伤而处于较低水平,提示迷宫术后早期应加大利尿剂用量。
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