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首页> 外文期刊>Current opinion in anaesthesiology >Right heart function in thoracic surgery: role of echocardiography.
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Right heart function in thoracic surgery: role of echocardiography.

机译:胸外科中的右心功能:超声心动图的作用。

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PURPOSE OF REVIEW: As part of the preoperative evaluation, echocardiography provides noninvasive assessment of cardiovascular status in patients scheduled for lung resection, especially in the presence of chronic elevation of pulmonary arterial pressures. The goal of this review is to summarize the recent literature on the topic. RECENT FINDINGS: Changes in right ventricular function can occur acutely during lung transplantation or occasionally during lung resection. In the postoperative period, changes in right heart function will depend on preexisting pulmonary hypertension, and whether it is exacerbated by worsening chronic obstructive pulmonary disease, pneumonia or development of the adult respiratory distress syndrome. Currently, it remains controversial whether routine lung resection leads to clinically significant changes in right heart function. SUMMARY: The use of echocardiography in the perioperative setting can be useful in diagnosing and treating right ventricular dysfunction, especially when associated with hemodynamic instability unresponsive to conventional treatment, or arrhythmias, which all may occur after lung resection.
机译:审查的目的:作为术前评估的一部分,超声心动图可对计划进行肺切除的患者进行心血管状态的非侵入性评估,尤其是在肺动脉压慢性升高的情况下。这篇综述的目的是总结有关该主题的最新文献。最近的发现:右心室功能的改变可以在肺移植过程中急性发生,或者在肺切除过程中偶尔发生。在术后期间,右心功能的变化将取决于先前存在的肺动脉高压,以及是否因慢性阻塞性肺疾病,肺炎的恶化或成人呼吸窘迫综合征的发展而加剧。目前,常规的肺切除术是否会导致右心功能的临床显着改变仍存在争议。总结:超声心动图在围手术期的使用可用于诊断和治疗右心室功能障碍,特别是与对常规治疗无反应的血流动力学不稳定或心律失常有关,所有这些都可能在肺切除术后发生。

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