反流性食管炎患者食管动力的研究.pdfVIP

950 GuanviMedicalJournal)己.2002.V.1讲.与 7 TheeffectsofchestcompressionbefomelectricalshocksOnprolongedvenlrim山『fibrillation 1iLhmg,RoadJ.Gaanuri认JulictaU.holarova,ccal GuangxiProvincialllospital,China犷NorthClucageoVAmedicalcenv,,,ChiragoMedaalScboo.l[J:A AbsrtactObjesai-Totestdietheorythataperiodofmyocardialperfusion(chestconipression)isrequiredforsuccessfulelectrical defibrillationonprolongeduntreatedVF.Meth:32ratsweresubjectedto10nunuteswttreated}T.FourrgoupsJ8ratseachwerethen randornueedtoreceiveupto3experunentalelectricalslmks(2一，2一，and4一J)eitherinanediatdyIeforestartingchestconrpression(0ounute ofchestcompressionhrrat2,4,or6minutesafterstartofchestcompression.Therats,w-h,ehcantbedefibrillated，ceessfldly，rrrmnuouslc receivedchestcompressionandrescueselectricalshocks-Results:Noneofdieratscamebackwithmprnxaeeetli shocksdeliveredeithertWfure =tattingchestcompressonorat2uinutesofchestcompression,whereasshocksdeliveredat6rmnmesofchestmp-nooci restored spontaneousci-datwnin7of8nats.91resundvdltimein4or6minutesgroupslongerthandratintheothertworgoups.Besides,thenumber ofexperimentalshocks.thenwnberofrescueshocksrequiredforsuccessfuldefibrillation,andthetotalenergydeliveredforsu- shdly defibrillationweresipuficantlylessinthe6minutesrgoup.Conclusion:Atleast4一6minuteschestrompressionisrequiredforsuccessfd electricaldefibrillationonprolongedunrteatedV} KeywadsPolongedventricularfibrillation;Gardixareest;Electricalshock;cardioprdnwnaryresuscitation 反流性食管炎患者食管动力的研究 西壮族 自治区人民医院消化内科(530021) 蔡联英 梁列新 梁荣新 郑琴芳 摘要 目的:探讨反流性食管炎(Reflaxesophagjtia,RE)的食管动力学改变特征及反流性食竹炎的发生机理，方法 使用高 分辨的多道灌注测压系统(PCpolrmfIIR瑞典产)测定了12例正常人及反流性食管炎患者28例的食管压力。结果:RE组食竹 下括约肌(TES)静息压(2.41士0.87kPa)明显低于正常对照组((3.03士。62kPa),食管体蠕动波幅(2.81士0.43kPa)明dd.低干正常 对照组((3.2310.62kPn)，食管体部运动异常检出率(71.43%)明U.高于对照组(16.67%)，差异均有显著性伽0.05);下食r:括 约肌长度((3.1110.47c.)