1.Screening
1.2.Inclusion Criteria
1.1.2.1.2.1、Age30~70years
YES
|
1.1.2.1.2.2、
III |
1.1.2.1.2.3、Heart valve replacement surgery
YES
|
1.3.Exclusion Criteria
|
With at least one disease as listed following | Left ventricular ejection fraction <45%
/Acute Cardiac Failure
/Myocardial Infarction
/History of angina in the past week
/Any coronary stenosis >70%
/Severe brain, kidney, lung, liver disease
/Tropisetron allergy
/Uncontrolled hypertension
|
2.Baseline
2.1.Surgical name
主动脉瓣和升主动脉瓣置换术 二尖瓣机械瓣膜置换术 |
2.2.Age
68 |
2.3.Gender
Male
|
2.4.BMI
23.03004535 |
2.5.Cardiac Function
III |
2.6.Ejection fraction
59 |
2.7.
III |
2.8.LEVDD
59 |
2.9.LAD
39 |
3.Time Data
- CPB Time
- Blocking Time
- Operation Time
- Duration of ventilation
- ICU Standing time
- Postoperation stay in hospital
3.1.CPB Time
140 |
3.2.Blocking Time
110 |
3.3.Operation Time
415 |
3.4.Duration of ventilation
40.3 |
3.5.ICU Standing time
327 |
3.6.Postoperation stay in hospital
19 |
4.Blood pressure
- Before anesthesia
- Before extracorporeal circulation
- After extracorporeal circulation
- 4 hours after cardiopulmonary bypass
- 12 hours after cardiopulmonary bypass
- 24 hours after cardiopulmonary bypass
4.1.Before anesthesia
79.33 |
4.2.Before extracorporeal circulation
68 |
4.3.After extracorporeal circulation
67.6 |
4.4.4 hours after cardiopulmonary bypass
67.33 |
4.5.12 hours after cardiopulmonary bypass
85.33 |
4.6.24 hours after cardiopulmonary bypass
77.33 |
5.Heart rate
- Before anesthesia
- Before extracorporeal circulation
- After extracorporeal circulation
- 4 hours after cardiopulmonary bypass
- 12 hours after cardiopulmonary bypass
- 24 hours after cardiopulmonary bypass
5.1.Before anesthesia
70 |
5.2.Before extracorporeal circulation
102 |
5.3.After extracorporeal circulation
88 |
5.4.4 hours after cardiopulmonary bypass
90 |
5.5.12 hours after cardiopulmonary bypass
99 |
5.6.24 hours after cardiopulmonary bypass
100 |
7.
7.1.
7.7.1.7.1.1、
160.8484 |
7.7.1.7.1.2、
2045.60058 |
7.7.1.7.1.3、
1795.87976 |
7.7.1.7.1.4、
851.81138 |
7.2.
7.7.2.7.2.1、
10.33274 |
7.7.2.7.2.2、
108.410876 |
7.7.2.7.2.3、
43.895812 |
7.7.2.7.2.4、
30.356582 |
7.3.
7.7.3.7.3.1、
25.925 |
7.7.3.7.3.2、
24.925 |
7.7.3.7.3.3、
52.175 |
7.7.3.7.3.4、
56.175 |
7.4.
7.7.4.7.4.1、
13.57239091 |
7.7.4.7.4.2、
16.63299697 |
7.7.4.7.4.3、
22.08754242 |
7.7.4.7.4.4、
22.39057273 |
7.5.
7.7.5.7.5.1、
242.4849699 |
7.7.5.7.5.2、
450.9018036 |
7.7.5.7.5.3、
521.0420842 |
7.7.5.7.5.4、
589.1783567 |
7.6.
7.7.6.7.6.1、
0.098746082 |
7.7.6.7.6.2、
1.493730408 |
7.7.6.7.6.3、
4.650470219 |
7.7.6.7.6.4、
0.521943574 |
7.7.
7.7.7.7.7.1、
6.16 |
7.7.7.7.7.2、
17.54 |
7.8.
7.7.8.7.8.1、
4.07 |
7.7.8.7.8.2、
16.71 |
7.9.
7.7.9.7.9.1、
135 |
7.7.9.7.9.2、
73 |
7.10.
7.7.10.7.10.1、
0.63 |
7.7.10.7.10.2、
126.98 |
6.Central Venous Pressure
- Before anesthesia
- Before extracorporeal circulation
- After extracorporeal circulation
- 4 hours after cardiopulmonary bypass
- 12hours after cardiopulmonary bypass
- 24 hours after cardiopulmonary bypass
6.1.Before anesthesia
7 |
6.2.Before extracorporeal circulation
8 |
6.3.After extracorporeal circulation
10 |
6.4.4 hours after cardiopulmonary bypass
13 |
6.5.12hours after cardiopulmonary bypass
15 |
6.6.24 hours after cardiopulmonary bypass
10 |
9.postoperative complications
- Ventricular arrhythmia
- Perioperative MI
- Cerebrovascular accidents
- Abnormal coagulation function
- pulmonary Infection
- Shock
- Endocarditis
- Hospital death
9.1.Ventricular arrhythmia
YES
|
9.2.Perioperative MI
NO
|
9.3.Cerebrovascular accidents
NO
|
9.4.Abnormal coagulation function
YES
|
9.5.pulmonary Infection
YES
|
9.6.Shock
NO
|
9.7.Endocarditis
NO
|
9.8.Hospital death
NO
|