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15.血液动力学监测在急性心肌梗塞中的临床意义? 应用漂浮导管进行急性心肌梗塞(AMI)的血液动力学监测,归纳起来可有以下三个方面的临床意义: (1)评价急性心肌梗塞患者左心功能及指导治疗:AMI时虽然根据临床症状及体征可以估计左心功能情况,但在许多情况下,这种估计会发生困难。例如,对肺水肿的估计。一些合并老慢支的AMI患者,其肺部疾患的罗音有时难以与心力衰竭区别。然而肺动脉舒张末期压力(PAEDP)或肺动脉楔嵌压(PAWP)测定左心功能可提供比较可靠的客观指标。
15. Clinical Significance of Hemodynamic Monitoring in Acute Myocardial Infarction Hemodynamic monitoring of floating myocardial catheterization for acute myocardial infarction (AMI) can be summarized in the following three aspects: (1) Evaluation of acute myocardial infarction Left Ventricular Function and Guidance for Treatment: Although left ventricular function can be estimated based on clinical signs and symptoms at AMI, in many cases this estimation can be difficult. For example, an estimate of pulmonary edema. In some AMI patients with old chronic bronchitis, the rales of pulmonary disease are sometimes difficult to distinguish from heart failure. However, pulmonary artery end-diastolic pressure (PAEDP) or pulmonary artery wedge pressure (PAWP) measurement of left ventricular function can provide more reliable objective indicators.