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
二尖瓣机械瓣膜置换术+三尖瓣成形术 |
2.2.Age
30 |
2.3.Gender
Male
|
2.4.BMI
24.48979592 |
2.5.Cardiac Function
III |
2.6.Ejection fraction
59 |
2.7.
III |
2.8.LEVDD
48 |
2.9.LAD
34 |
3.Time Data
- CPB Time
- Blocking Time
- Operation Time
- Duration of ventilation
- ICU Standing time
- Postoperation stay in hospital
3.1.CPB Time
95 |
3.2.Blocking Time
65 |
3.3.Operation Time
205 |
3.4.Duration of ventilation
8 |
3.5.ICU Standing time
162 |
3.6.Postoperation stay in hospital
16 |
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
78.67 |
4.2.Before extracorporeal circulation
69.67 |
4.3.After extracorporeal circulation
86.67 |
4.4.4 hours after cardiopulmonary bypass
94 |
4.5.12 hours after cardiopulmonary bypass
83.67 |
4.6.24 hours after cardiopulmonary bypass
69.33 |
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
95 |
5.2.Before extracorporeal circulation
82 |
5.3.After extracorporeal circulation
85 |
5.4.4 hours after cardiopulmonary bypass
98 |
5.5.12 hours after cardiopulmonary bypass
95 |
5.6.24 hours after cardiopulmonary bypass
103 |
7.
7.1.
7.7.1.7.1.1、
134.2957 |
7.7.1.7.1.2、
707.743 |
7.7.1.7.1.3、
781.1903 |
7.7.1.7.1.4、
646.15894 |
7.2.
7.7.2.7.2.1、
9.138318 |
7.7.2.7.2.2、
111.890744 |
7.7.2.7.2.3、
86.432036 |
7.7.2.7.2.4、
75.171318 |
7.3.
7.7.3.7.3.1、
10.175 |
7.7.3.7.3.2、
14.175 |
7.7.3.7.3.3、
23.425 |
7.7.3.7.3.4、
21.175 |
7.4.
7.7.4.7.4.1、
1.279461616 |
7.7.4.7.4.2、
4.107744444 |
7.7.4.7.4.3、
2.996633333 |
7.7.4.7.4.4、
8.582491919 |
7.5.
7.7.5.7.5.1、
234.4689379 |
7.7.5.7.5.2、
348.6973948 |
7.7.5.7.5.3、
378.757515 |
7.7.5.7.5.4、
468.5370742 |
7.6.
7.7.6.7.6.1、
0.302507837 |
7.7.6.7.6.2、
2.590909091 |
7.7.6.7.6.3、
2.44984326 |
7.7.6.7.6.4、
0.443573668 |
7.7.
7.7.7.7.7.1、
6.31 |
7.7.7.7.7.2、
22.25 |
7.8.
7.7.8.7.8.1、
1.93 |
7.7.8.7.8.2、
20 |
7.9.
7.7.9.7.9.1、
86 |
7.7.9.7.9.2、
63 |
7.10.
7.7.10.7.10.1、
2.05 |
7.7.10.7.10.2、
150.77 |
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
5 |
6.2.Before extracorporeal circulation
9 |
6.3.After extracorporeal circulation
14 |
6.4.4 hours after cardiopulmonary bypass
10 |
6.5.12hours after cardiopulmonary bypass
14 |
6.6.24 hours after cardiopulmonary bypass
15 |
9.postoperative complications
- Ventricular arrhythmia
- Perioperative MI
- Cerebrovascular accidents
- Abnormal coagulation function
- pulmonary Infection
- Shock
- Endocarditis
- Hospital death
9.1.Ventricular arrhythmia
NO
|
9.2.Perioperative MI
NO
|
9.3.Cerebrovascular accidents
NO
|
9.4.Abnormal coagulation function
YES
|
9.5.pulmonary Infection
NO
|
9.6.Shock
NO
|
9.7.Endocarditis
NO
|
9.8.Hospital death
NO
|