Blood cardioplegic solution을 사용한 선천성 복잡 심기형 환자의 술 후 조기 혈류학 변화에 관한 연구
Postoperative cardiac outputs and other hernoaynamic values were serially measured in fifteen patients of cyanotic congenital heart disease, after use of blood cardioplegic solution. Cardiac indices showed no change untill eight postoparative hours, then it began to decline to reach as low as 3.22$\...
Gespeichert in:
| Veröffentlicht in: | Taehan Hyungbu Oekwa Hakhoe chi 1992, Vol.25 (11), p.1192-1202 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | kor |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1202 |
|---|---|
| container_issue | 11 |
| container_start_page | 1192 |
| container_title | Taehan Hyungbu Oekwa Hakhoe chi |
| container_volume | 25 |
| creator | 김영태 김용진 Kim, Yeong-Tae Kim, Yong-Jin |
| description | Postoperative cardiac outputs and other hernoaynamic values were serially measured in fifteen patients of cyanotic congenital heart disease, after use of blood cardioplegic solution. Cardiac indices showed no change untill eight postoparative hours, then it began to decline to reach as low as 3.22$\pm$0.7L/min/m2 at 12 hours. After then gradual increse occ-ured to recover upto immediate postoperative value at 20 hours. Sharp decrese of heart rate and increse of systemic vascular resistance during 8~16 hours and steady increase of stroke indices during the whole study periods were observed. These observations suggested that the myocardium recovered gradually after open heart surgery, and that the decrease of cardiac indices during 8~16 hours could be a result of decrease of heart rates and increase of afterload. The changes of cardiac indices correlated with the changes of heart rate, postoperative time and mixed venous oxygen saturation [p |
| format | Article |
| fullrecord | <record><control><sourceid>kisti</sourceid><recordid>TN_cdi_kisti_ndsl_JAKO199211919803507</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>JAKO199211919803507</sourcerecordid><originalsourceid>FETCH-kisti_ndsl_JAKO1992119198035073</originalsourceid><addsrcrecordid>eNpjYeA0MDYw1DWyMLXkYOAtLs5MMjA2MzK3MDU15mSoc8rJz09RSE4sSsnML8hJTc9MVijOzyktyczPezO3ReFN05o3s1a-nTpH4U3Lgjeb5rxp2ajwevPWN_MWKrzpXvNqx4a3M6YqvJ054828CW_mzlB407FA4e1soLaFG4ByCm9ndLxeOuPt1JlAPQ1vZ055M32CwqstDWDjpm94tXUNDwNrWmJOcSovlOZmUHVzDXH20M3OLC7JjM9LKc6J93L09je0tDQyNLQ0tLQwMDY1MDcmVh0Ad7lqFg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Blood cardioplegic solution을 사용한 선천성 복잡 심기형 환자의 술 후 조기 혈류학 변화에 관한 연구</title><source>KoreaMed Open Access</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>김영태 ; 김용진 ; Kim, Yeong-Tae ; Kim, Yong-Jin</creator><creatorcontrib>김영태 ; 김용진 ; Kim, Yeong-Tae ; Kim, Yong-Jin</creatorcontrib><description>Postoperative cardiac outputs and other hernoaynamic values were serially measured in fifteen patients of cyanotic congenital heart disease, after use of blood cardioplegic solution. Cardiac indices showed no change untill eight postoparative hours, then it began to decline to reach as low as 3.22$\pm$0.7L/min/m2 at 12 hours. After then gradual increse occ-ured to recover upto immediate postoperative value at 20 hours. Sharp decrese of heart rate and increse of systemic vascular resistance during 8~16 hours and steady increase of stroke indices during the whole study periods were observed. These observations suggested that the myocardium recovered gradually after open heart surgery, and that the decrease of cardiac indices during 8~16 hours could be a result of decrease of heart rates and increase of afterload. The changes of cardiac indices correlated with the changes of heart rate, postoperative time and mixed venous oxygen saturation [p<0.05]. No other hemodynamic values found to be in statistically significant correlation with the changes of cardiac indices. Left ventricular dysfunction seemed to occur more frequently during 8~12 hours, but it was not statistically significant. [p=0.73] In conclusion, great care must be taken during 2~3 days after the operation of cyanotic congenital heart disease, not to fall into a low cardiac output state, by maintaing adequate heart rates and reducing afterload especially when the systemic vascular resistance increases.</description><identifier>ISSN: 0301-2859</identifier><language>kor</language><ispartof>Taehan Hyungbu Oekwa Hakhoe chi, 1992, Vol.25 (11), p.1192-1202</ispartof><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,4024</link.rule.ids></links><search><creatorcontrib>김영태</creatorcontrib><creatorcontrib>김용진</creatorcontrib><creatorcontrib>Kim, Yeong-Tae</creatorcontrib><creatorcontrib>Kim, Yong-Jin</creatorcontrib><title>Blood cardioplegic solution을 사용한 선천성 복잡 심기형 환자의 술 후 조기 혈류학 변화에 관한 연구</title><title>Taehan Hyungbu Oekwa Hakhoe chi</title><addtitle>The Korean journal of thoracic and cardiovascular surgery</addtitle><description>Postoperative cardiac outputs and other hernoaynamic values were serially measured in fifteen patients of cyanotic congenital heart disease, after use of blood cardioplegic solution. Cardiac indices showed no change untill eight postoparative hours, then it began to decline to reach as low as 3.22$\pm$0.7L/min/m2 at 12 hours. After then gradual increse occ-ured to recover upto immediate postoperative value at 20 hours. Sharp decrese of heart rate and increse of systemic vascular resistance during 8~16 hours and steady increase of stroke indices during the whole study periods were observed. These observations suggested that the myocardium recovered gradually after open heart surgery, and that the decrease of cardiac indices during 8~16 hours could be a result of decrease of heart rates and increase of afterload. The changes of cardiac indices correlated with the changes of heart rate, postoperative time and mixed venous oxygen saturation [p<0.05]. No other hemodynamic values found to be in statistically significant correlation with the changes of cardiac indices. Left ventricular dysfunction seemed to occur more frequently during 8~12 hours, but it was not statistically significant. [p=0.73] In conclusion, great care must be taken during 2~3 days after the operation of cyanotic congenital heart disease, not to fall into a low cardiac output state, by maintaing adequate heart rates and reducing afterload especially when the systemic vascular resistance increases.</description><issn>0301-2859</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>JDI</sourceid><recordid>eNpjYeA0MDYw1DWyMLXkYOAtLs5MMjA2MzK3MDU15mSoc8rJz09RSE4sSsnML8hJTc9MVijOzyktyczPezO3ReFN05o3s1a-nTpH4U3Lgjeb5rxp2ajwevPWN_MWKrzpXvNqx4a3M6YqvJ054828CW_mzlB407FA4e1soLaFG4ByCm9ndLxeOuPt1JlAPQ1vZ055M32CwqstDWDjpm94tXUNDwNrWmJOcSovlOZmUHVzDXH20M3OLC7JjM9LKc6J93L09je0tDQyNLQ0tLQwMDY1MDcmVh0Ad7lqFg</recordid><startdate>1992</startdate><enddate>1992</enddate><creator>김영태</creator><creator>김용진</creator><creator>Kim, Yeong-Tae</creator><creator>Kim, Yong-Jin</creator><scope>JDI</scope></search><sort><creationdate>1992</creationdate><title>Blood cardioplegic solution을 사용한 선천성 복잡 심기형 환자의 술 후 조기 혈류학 변화에 관한 연구</title><author>김영태 ; 김용진 ; Kim, Yeong-Tae ; Kim, Yong-Jin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-kisti_ndsl_JAKO1992119198035073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>kor</language><creationdate>1992</creationdate><toplevel>online_resources</toplevel><creatorcontrib>김영태</creatorcontrib><creatorcontrib>김용진</creatorcontrib><creatorcontrib>Kim, Yeong-Tae</creatorcontrib><creatorcontrib>Kim, Yong-Jin</creatorcontrib><collection>KoreaScience</collection><jtitle>Taehan Hyungbu Oekwa Hakhoe chi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>김영태</au><au>김용진</au><au>Kim, Yeong-Tae</au><au>Kim, Yong-Jin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Blood cardioplegic solution을 사용한 선천성 복잡 심기형 환자의 술 후 조기 혈류학 변화에 관한 연구</atitle><jtitle>Taehan Hyungbu Oekwa Hakhoe chi</jtitle><addtitle>The Korean journal of thoracic and cardiovascular surgery</addtitle><date>1992</date><risdate>1992</risdate><volume>25</volume><issue>11</issue><spage>1192</spage><epage>1202</epage><pages>1192-1202</pages><issn>0301-2859</issn><abstract>Postoperative cardiac outputs and other hernoaynamic values were serially measured in fifteen patients of cyanotic congenital heart disease, after use of blood cardioplegic solution. Cardiac indices showed no change untill eight postoparative hours, then it began to decline to reach as low as 3.22$\pm$0.7L/min/m2 at 12 hours. After then gradual increse occ-ured to recover upto immediate postoperative value at 20 hours. Sharp decrese of heart rate and increse of systemic vascular resistance during 8~16 hours and steady increase of stroke indices during the whole study periods were observed. These observations suggested that the myocardium recovered gradually after open heart surgery, and that the decrease of cardiac indices during 8~16 hours could be a result of decrease of heart rates and increase of afterload. The changes of cardiac indices correlated with the changes of heart rate, postoperative time and mixed venous oxygen saturation [p<0.05]. No other hemodynamic values found to be in statistically significant correlation with the changes of cardiac indices. Left ventricular dysfunction seemed to occur more frequently during 8~12 hours, but it was not statistically significant. [p=0.73] In conclusion, great care must be taken during 2~3 days after the operation of cyanotic congenital heart disease, not to fall into a low cardiac output state, by maintaing adequate heart rates and reducing afterload especially when the systemic vascular resistance increases.</abstract><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0301-2859 |
| ispartof | Taehan Hyungbu Oekwa Hakhoe chi, 1992, Vol.25 (11), p.1192-1202 |
| issn | 0301-2859 |
| language | kor |
| recordid | cdi_kisti_ndsl_JAKO199211919803507 |
| source | KoreaMed Open Access; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| title | Blood cardioplegic solution을 사용한 선천성 복잡 심기형 환자의 술 후 조기 혈류학 변화에 관한 연구 |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T05%3A35%3A16IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-kisti&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Blood%20cardioplegic%20solution%EC%9D%84%20%EC%82%AC%EC%9A%A9%ED%95%9C%20%EC%84%A0%EC%B2%9C%EC%84%B1%20%EB%B3%B5%EC%9E%A1%20%EC%8B%AC%EA%B8%B0%ED%98%95%20%ED%99%98%EC%9E%90%EC%9D%98%20%EC%88%A0%20%ED%9B%84%20%EC%A1%B0%EA%B8%B0%20%ED%98%88%EB%A5%98%ED%95%99%20%EB%B3%80%ED%99%94%EC%97%90%20%EA%B4%80%ED%95%9C%20%EC%97%B0%EA%B5%AC&rft.jtitle=Taehan%20Hyungbu%20Oekwa%20Hakhoe%20chi&rft.au=%EA%B9%80%EC%98%81%ED%83%9C&rft.date=1992&rft.volume=25&rft.issue=11&rft.spage=1192&rft.epage=1202&rft.pages=1192-1202&rft.issn=0301-2859&rft_id=info:doi/&rft_dat=%3Ckisti%3EJAKO199211919803507%3C/kisti%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/&rfr_iscdi=true |