International Journal of Clinical Research
International Journal of Clinical Research. 2022; 6: (1) ; 10.12208/j.ijcr.20220002 .
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南京医科大学附属常州第二人民医院麻醉科 江苏常州
*通讯作者： 吴周全,单位：南京医科大学附属常州第二人民医院麻醉科 江苏常州；
目的 探讨基于TEE的控制性低中心静脉压技术在腹腔镜下肝部分切除术中的应用。方法 通过测量上腔静脉变异率和左、右心脏收缩功能来指导中心静脉压（CVP）的控制，同时监测低压状态下右心房内是否有气泡出现以防止严重的气栓并发症，从而保证患者安全。结果 （1）在TEE的指导下，使患者的上腔静脉变异率由14.8%升高到38.5%，CVP由原来的10cmH2O降至和3cmH2O；（2）在TEE的指导下早期发现右心房气体并及时处理。结论 围术期TEE能够目标靶向的控制中心静脉压。
Objective To discuss the application of low central venous pressure (CVP) based on TEE on a patient undergoing laparoscopic partial hepatectomy. Methods To control the CVP measuring the variation rate of the superior vena cava (SVC) and the systolic function of the heart and to monitor the presence of bubbles in the right atrium under low pressure for preventing serious thrombotic complications. Results (1) Under the guidance of TEE, the variation rate of SVC increased from 14.8% to 38.5%, and the CVP decreased from 10cmH2O to 3cmH2O. (2) Under the guidance of TEE, the bubble in right atrial was detected early and treated in time. Conclusion s Perioperative TEE can control the CVP accurately.
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