TY - T1的心血管的后果fibreoptic支气管镜检查JF -欧洲呼吸杂志》乔和J SP - 695 LP - 698欧元六世- 10 - 3 AU -戴维斯L AU -先生,R AU -斯宾塞,DP盟——公司AU - Earis,下午我非盟-皮尔森,MG Y1 - 1997/03/01 UR - //www.qdcxjkg.com/content/10/3/695.abstract N2 - fibreoptic支气管镜检查(FOB)现在是常见的,和老年病人接受手术的数量正在增加。在FOB过程中氧合的问题是众所周知的，但关于其心血管作用的数据很少。45例患者(中位年龄65岁)接受择期离岸价进行前瞻性研究。患者被连接到一个12导联的计算机心电图记录器，一个手指容积血压(FPBP)监测器和脉搏血氧计。43例患者用芬太尼和氟哌利多麻醉，均经气管内注射5 mL 2.5%可卡因，并喷于咽部。开始时平均血压计袖带血压升高(167/88 mmHg)。气管内注射时FPBP记录的平均血压升高(178/96 mmHg)，并在整个过程中保持较高的血压。初始平均心率(SD)为93(5.1)次× min(-1)，在手术过程中上升到134(7.5)次× min(-1)。45例患者中有4例出现了意想不到的ST段下降1mm持续1min，另有3例出现了束支阻滞。这7例患者的心动过速明显增大(152 vs 131次x分钟(-1))，血压升高(238/131 vs 207/109 mmHg)。 They were older (72 vs 61 yrs), had smoked more (63 vs 39 pack-years), but had similar lung function and similar changes in oxygen saturation. Oxygen desaturation occurred in 19 patients and this was associated with poor lung function (69 vs 84% predicted forced expiratory volume in one second), but was independent of the cardiovascular changes. Significant cardiovascular changes occur during fibreoptic bronchoscopy, with evidence of cardiac strain in 21% of patients over the age of 60 yrs. ER -