乌拉地尔对风心病肺动脉高压及血气的影响

蒋迎九; 李朝先; 向小勇; 杨双强; 李强; 汪斌; 黄阳礼

doi:10.13406/j.cnki.cyxb.2003.02.033

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乌拉地尔对风心病肺动脉高压及血气的影响

更新时间：2024-01-17

- 乌拉地尔对风心病肺动脉高压及血气的影响
- Effects of urapidil on pulmonary hypertension and blood gas in rheumatic heart disease
- 重庆医科大学学报 2003年第2期页码：222-224
- 作者机构：
  
  1. 重庆医科大学临床学院胸心外科
  2. 重庆医科大学临床学院胸心外科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2003.02.033
  中图分类号： R541.2
- 纸质出版日期：2003，
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[1]蒋迎九,李朝先,向小勇,杨双强,李强,汪斌,黄阳礼.乌拉地尔对风心病肺动脉高压及血气的影响[J].重庆医科大学学报,2003(02):222-224.

JIANG Yingjiu, et al. Effects of urapidil on pulmonary hypertension and blood gas in rheumatic heart disease[J]. Journal of Chongqing Medical University, 2003,(2):222-224.
[1]蒋迎九,李朝先,向小勇,杨双强,李强,汪斌,黄阳礼.乌拉地尔对风心病肺动脉高压及血气的影响[J].重庆医科大学学报,2003(02):222-224. DOI： 10.13406/j.cnki.cyxb.2003.02.033.

JIANG Yingjiu, et al. Effects of urapidil on pulmonary hypertension and blood gas in rheumatic heart disease[J]. Journal of Chongqing Medical University, 2003,(2):222-224. DOI： 10.13406/j.cnki.cyxb.2003.02.033.

摘要

目的 :观察乌拉地尔对合并有肺动脉高压的风心病病人右心血流动力学及动脉血气的影响。方法 :以风心病继发肺动脉高压的 34例病人为研究对象

观察静脉注射 0 .4mg/kg乌拉地尔前、后 10min、4 0min、6 0min右心血流动力学参数、体循环血压及动脉血气的变化。结果 :乌拉地尔能显著降低风心病病人的肺动脉压、肺循环阻力、肺毛细血管楔嵌压及体循环血压

但对肺循环的影响要明显强于体循环

并几乎不引起心率、心输出量及动脉血气的改变。无严重副反应发生。结论 :乌拉地尔治疗术前风心病肺动脉高压可能有很好的临床效果。

Abstract

Objective: To investigate the hemodynamic effects of right heart and changes of blood gas in rheumatic heart disease with pulmonary hypertension by urapidil. Methods: 34 patients suffering from varying degrees of pulmonary hypertension due to rheumatic heart disease were included in the study.Each patient received 0.4mg/kg urapidil by intravenous injection.In all patients

the hemodynamic record and blood gas test were performed before and 10

60 minutes after urapidil injection. Results: Pulmonary arterial pressure?pulmonary vascular resistance

pulmonary capillary wedge pressure and systemic arterial pressure were decreased after urapidil injection.The reduction of resistance in the pulmonary vascular bed was greater than that of systemic circulation.There were no significant alterations in heart rate

cardiac output and arterial blood gas.No serious side-effects were observed in the study. Conclusion:Urapidil may be a promising drug in the treatment of patients with pulmonary hypertension due to rheumatic heart disease.

关键词

乌拉地尔肺动脉高压风湿性心脏病血气

Keywords

Urapidilpulmonary hypertensionrheumatic heart diseaseBlood gas

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