4 .
1. (), . Deltex. , .
2. CO2 ( NICO) ( , , , ). , .
3. , , . . ( , , .) [ .., .., 1998].
4. PiCCO, LidCO Edwards Lifesciences . , . (3-4 ) ( PiCCO) ( LidCO).
, [Malbrain M et al., 2005].
2
, ( PiCCO VolEF)
(. /MAP) ./. | . . . . | 70-90 . . 130-90/90-60 . . |
(/CI) | 3,0-5,0 //2 | |
( /CVP) | 2-10 . . | |
36-37 | ||
(/HR) | 60-90 / | |
( ) - (/ GEDVI) | GEDVI = (ITTV PTV) / BSA | 680-800 /2 |
(/ITBVI) | ITBVI =1,25 GEDVI | 850-1000 /2 |
(/EVLWI) | EWLVI = (ITTV ITBV) / BW | 3,0-7,0 / |
(/CFI) | CFI = CI / GEDVI | 4,5-6,5 ^-1 |
(/dPmx) | ( ): dPmx = d(P) / d(t) | 1200-2000 . . |
(/SVI) | SVI = CI / HR | 40-60 /2 |
(/GEF) | GEF = 4 SV / GEDV | 25-35% |
(/SVV) | SVV = (SVmax SVmin) / SVmean | 10% |
(/PPV) | PPV = (PPmax PPmin) / PPmean | 10% |
(/SVRI) | SVRI = 80 x (MAP CVP) / CI | 1200-2000 -5/^2 |
(/PVPI) | PVPI = EVLW / PBV | 1-3 |
(./AP) ./ . | - | 10-20 . . 15-25/8-15 . . |
(/PCWP) | - | 6-15 . . |
(/PVRI) | PVRI = 80 x (PAP PCWP) / CI | 45-225 x -5/2 |
- (/RHEDVI) | RHEDVI = MTtTDpa CIpa | 275-375 /2 |
- (/RVEDVI) | RVEDVI = DStTDpa CIpa | 90-125 /2 |
(/RVEF) | RVEF = (SV / RVEDV) 100 | 40-50 % |
- (/LHEDVI) | LHEDVI = (GEDV RHEDV) / BSA | 275-375 /2 |
(R/L) | R / L = RHEDV / LHEDV | 1,0-1,3 |
|
|
ITTV (Intrathoracic Thermal Volume) ; PTV (Pulmonary Thermal Volume) ; BSA ; BW (Body Weight) ; GEDV (Global End-Diastolic Volume) - ; SV (Stroke Volume) ; SVmax PPmax 30 ; SVmin PPmin 30 ; SVmean PPmean 30 ; EVLW (Extravascular Lung Water) ; PBV (Pulmonary Blood Volume) ; CIpa , ; MTtTDpa -; DStTDpa ; RVEDV - ; RHEDV - ; LHEDV - .
. (- - ), , , , -, - . , . .
, ( 1) ( 1 //).
, , , . .
|
|
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2. .., .., .., .., .. , . . , 2004. . 1-24.
3. .., .. . ., 1997. . 140.
4. .., .., .. . 2003, 4. . 67-73.
5. .., .. . 1. -., 1998. . 99-149.
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