diaphragm function after open thoracic surgery
Conditions
Interventions
normal diaphragm function group:NA
diaphragm dysfunction group:NA
Sponsors
Nanjing Drum Tower hospital, the Affiliated hospital of Nanjing University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Conform to the diagnostic criteria of coronary atherosclerotic heart disease, valvular heart disease and aortic dissection; the first thoracotomy surgery; The first bedside ultrasound image within 24 hours of spontaneous breathing in 3 consecutive respiratory cycle and includes bilateral diaphragms Age >18 years old.
Exclusion criteria
Exclusion criteria: 1. Severe bleeding diseases and coagulation disorders; 2. The sternum is not sutured; 3. Patients with significantly increased abdominal pressure in type B aortic dissection; 4. Pregnant or newly delivered patients; 5. Unilateral or bilateral diaphragmatic muscles in ultrasound images are not clearly displayed and cannot be measured; Not in line with the concept of continuity observing three respiratory cycles, Lacking pictures of unilateral or bilateral diaphragm activity or diaphragm thickness; 6. Brain function caused by preoperative chest adenoma with myasthenia gravis and various diseases;History of disorders and spinal cord injury (above C5); 7. Previous history of chest surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ICU stay;postoperative hospital stay; | — |
Secondary
| Measure | Time frame |
|---|---|
| mechanical ventilation time;oxygen supply level;respiratory complications; | — |
Countries
Chian
Contacts
Public ContactHuai Hongbo
Nanjing Drum Tower hospital, the Affiliated hospital of Nanjing University
Outcome results
None listed