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
|
3.Time Data
- CPB Time
- Blocking Time
- Operation Time
- Duration of ventilation
- ICU Standing time
- Postoperation stay in hospital
3.1.CPB Time
235 |
3.2.Blocking Time
135 |
3.3.Operation Time
525 |
3.4.Duration of ventilation
24 |
3.5.ICU Standing time
37.5 |
3.6.Postoperation stay in hospital
16 |
2.Baseline
2.1.Surgical name
二尖瓣机械版膜置换术+三尖瓣探查术 |
2.2.Age
53 |
2.3.Gender
female
|
2.4.BMI
29.38 |
2.5.Cardiac Function
II |
2.6.Ejection fraction
63 |
2.7.
III |
2.8.LEVDD
52 |
2.9.LAD
46 |
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
89.33 |
4.2.Before extracorporeal circulation
73 |
4.3.After extracorporeal circulation
78 |
4.4.4 hours after cardiopulmonary bypass
78.66 |
4.5.12 hours after cardiopulmonary bypass
72.67 |
4.6.24 hours after cardiopulmonary bypass
96.5 |
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
77 |
5.2.Before extracorporeal circulation
92 |
5.3.After extracorporeal circulation
102 |
5.4.4 hours after cardiopulmonary bypass
107 |
5.5.12 hours after cardiopulmonary bypass
100 |
5.6.24 hours after cardiopulmonary bypass
101 |
7.
7.1.
7.7.1.7.1.1、
325.81704 |
7.7.1.7.1.2、
1221.8741 |
7.7.1.7.1.3、
1534.2957 |
7.7.1.7.1.4、
704.91678 |
7.2.
7.7.2.7.2.1、
5.94497 |
7.7.2.7.2.2、
31.785058 |
7.7.2.7.2.3、
25.057554 |
7.7.2.7.2.4、
25.457444 |
7.3.
7.7.3.7.3.1、
16.675 |
7.7.3.7.3.2、
15.175 |
7.7.3.7.3.3、
12.675 |
7.7.3.7.3.4、
20.925 |
7.4.
7.7.4.7.4.1、
7.922642 |
7.7.4.7.4.2、
10.312746 |
7.7.4.7.4.3、
8.099617 |
7.7.4.7.4.4、
12.790387 |
7.5.
7.7.5.7.5.1、
212.6252505 |
7.7.5.7.5.2、
645.2905812 |
7.7.5.7.5.3、
507.0140281 |
7.7.5.7.5.4、
462.9258517 |
7.6.
7.7.6.7.6.1、
0.532392894 |
7.7.6.7.6.2、
4.581504702 |
7.7.6.7.6.3、
1.26907001 |
7.7.6.7.6.4、
0.939916405 |
7.7.
7.7.7.7.7.1、
5.58 |
7.7.7.7.7.2、
12.28 |
7.8.
7.7.8.7.8.1、
3.3 |
7.7.8.7.8.2、
10.98 |
7.9.
7.7.9.7.9.1、
245 |
7.7.9.7.9.2、
148 |
7.10.
7.7.10.7.10.1、
0.7 |
7.7.10.7.10.2、
117 |
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
9 |
6.2.Before extracorporeal circulation
9 |
6.3.After extracorporeal circulation
12 |
6.4.4 hours after cardiopulmonary bypass
17 |
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
YES
|
9.2.Perioperative MI
NO
|
9.3.Cerebrovascular accidents
NO
|
9.4.Abnormal coagulation function
NO
|
9.5.pulmonary Infection
YES
|
9.6.Shock
NO
|
9.7.Endocarditis
NO
|
9.8.Hospital death
NO
|