摘要
Abstract
Objective:To explore the application value of central venous pressure in acute right ventricular myocardial infarction.Method:According to the random number table method,102 patients with acute right ventricular myocardial infarction(AMI) were divided into A group(n=33),B group(n=36),C group(n=33). Three groups were given the same basic treatment and volume expansion therapy,A group,B group,C group of CVP were maintained at 6-12 cm H2O,13-19 cm H2O, 20-26 cm H2O,the heart rate(HR),mean arterial pressure(MAP),urine output(UV),cardiac output(CO) and incidence of pulmonary edema of the three groups were compared.Result:The incidence of pulmonary edema in A group and B group were significantly lower than that in C group(P<0.05);admission to hospital for treatment of 12 h and 24 h,the HR of B group and C group were significantly slower than that in C group,UV,CO,MAP were significantly higher than those in A group(P<0.05);CVP values in patients with simple right ventricular myocardial infarction was significantly higher than that of patients with non simple right ventricular infarction(P<0.05).Conclusion:Central venous pressure measurement has great significance in the treatment of acute right ventricular myocardial infarction,and its optimal maintenance range should be between 13-19 cm H2O.关键词
中心静脉压/急性右室心肌梗死/低血压/扩容治疗Key words
Central venous pressure/Acute right ventricular myocardial infarction/Hypotension/Volume expansion therapy分类
医药卫生
