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左室射血分数(LVEF)≤20%的患者在准备接受移植术后进行精心治疗,哪些患者易于存活有待确定,本文根据152例患者的研究提出了下述假设:(1)在安排移植时最早测得的充盈压重度升高并不一定预示后果不良;(2)以改善血流动力状态为目标的精心治疗若能降低肺动脉楔压(PAWP),则存活率将最高;(3)冠状动脉疾病是早期死亡率的独立危险因素。尽管初始射血分数(均值,下同)为0.15、心脏指数为2.0L/min/m~2且 PAWP 为3.8kPa。在精心治疗下,1
The following hypotheses were made based on 152 patient studies in patients who underwent LVEF ≤20% who were carefully treated after they were prepared for transplant and which patients were easy to survive. The following hypotheses were made in this study based on 152 patients: (1) The earliest measured increase in filling pressure does not necessarily indicate poor outcomes; (2) careful treatment aimed at improving hemodynamic status will have the highest survival if pulmonary arterial wedge pressure (PAWP) is reduced; (3) coronary Arterial disease is an independent risk factor for early mortality. Although the initial ejection fraction (mean, the same below) was 0.15, the cardiac index was 2.0 L / min / m 2 and the PAWP was 3.8 kPa. Under careful treatment, 1