Elderly patients with pulmonary heart disease died of oxygen dynamics.docVIP

 PAGE \* MERGEFORMAT 15 Elderly patients with pulmonary heart disease died of oxygen dynamics Author: Qin Wei Yi Zou Ying Qian Hong-chun Xu Qiulin [Abstract] Objective To investigate the death of elderly patients with pulmonary heart disease of oxygen dynamics. Methods From 1980 to 2000, admitted in our hospital in patients with pulmonary heart disease in 76 cases were followed up for 5 years, during which 43 cases of death and survival of patients with 33 cases of the dynamic monitoring of hemodynamics and oxygen contrast. Right digestive tract bleeding and in patients with septic shock before the death of 24 ~ 72 h-line monitoring of hemodynamics and oxygen dynamics. Results death group and survival group mean pulmonary artery pressure (MPAP), respectively (41  3 ± 10  6) mmHg, (28  9 ± 6  5) mmHg (P amp;lt;0  01); cardiac index (CI), respectively (1  92 ± 0  41) L * min-1 * m-2, (2  6 ± 0  48) L * min-1 * m-2 (P amp;lt;0  01); death group arterial oxygen partial pressure (PaO2) to (42  3 ± 4  3) mmHg, oxygen delivery (DO2) and oxygen consumption (VO2) decreased significantly than those of survival group, DO2 and VO2 was positively correlated (r = 0  71). The shorter the length of the death, MPAP higher, CI, DO2, VO2, PaO2 lower. 43 patients died before death 39 cases (90  6%) had combined acid-base balance disorders, 25 cases (58  13%) sputum cultivate pathogens 57. 41 cases (95  3%) occurred multiple organ dysfunction syndrome (MODS). 12 cases of pulmonary heart disease with septic shock and gastrointestinal bleeding in 24 ~ 72 h before death hemodynamics and oxygen dynamics significantly different. Conclusion pulmonary heart disease caused the death, other than serious, low PaO2, there are also tissue oxygen release, uptake and use of barriers. [Keywords:] Pulmonary Heart Disease; oxygen dynamics; hemodynamics Since the last century, 70 years since the invention of Swan  Ganz catheter, hemodynamic monitoring i