乳幼児開心術後の心機能 : 特に熱希釈法による心拍出量の推移を中心として

概要

論文の詳細を見る
Cardiac performance was investigated for cardiac output by Thermodilution method (EDWARDS Model 9510 Cardiac Output Computer and Swan-Ganz Thermodilution Catheter) in 30 VSD and 15 TOF in children under 6 years of age. Cardiac Index (C.I., 1/min/m^2, mean±S.D.) at 4, 8, 12, 24, 48 hours afterOpen-Intracardiac surgery was 3.5±1.4, 3.1±0.9, 3.0±0.8, 3.4±0.8 and 3.8±0.8 1/min/m^2 in VSD group, and 2.6±0.6, 2.3±0.6, 2.2±0.4, 2.4±0.4 and 2.7±0.5 1/min/m^2 in TOF group. In VSD group, cardiac function was poor from 8 to 12 hours after surgery. Therefore, periferal blood circulation was disturbed, and the post-operative complications were likely to occur eary in this period. But after 24 hours, cardiac function was restored. In TOF group, low cardiac output lasted more than 48 hours after surgery, in patients with complications, prognosis was poor. A-VO_2 difference, PVO_2, and deep core temperature difference between Central-Periferal by TERMOFINER CORETEMP were good monitoring techniques for periferal blood circuration and were well coeficient of correlation to Cardiac Output by Thermodilution.
日本小児外科学会の論文
1980-12-20