WEBVTT 00:00:02.063 --> 00:00:03.113 Pomiar ciśnienia w tętnicach płucnych 00:00:03.113 --> 00:00:06.281 za pomocą cewnika wprowadzanego przez serce 00:00:06.281 --> 00:00:08.980 to złoty standard w diagnostyce nadciśnienia płucnego. 00:00:08.980 --> 00:00:11.496 Ale możliwe jest to także na inne sposoby. 00:00:11.496 --> 00:00:13.329 Przypomnijmy sobie, jak połączone są ze sobą serce i płuca 00:00:13.329 --> 00:00:17.596 w układzie krążenia krwi. 00:00:17.596 --> 00:00:20.281 Tutaj mamy serce, a tutaj płuca. 00:00:20.281 --> 00:00:23.948 Kolejny przystanek na drodze krwi w naczyniach, 00:00:23.948 --> 00:00:26.480 czyli płuca. 00:00:26.480 --> 00:00:29.147 We krwi, w odtlenowanej krwi. 00:00:29.147 --> 00:00:30.663 Może najpierw narysuję jamy serca. 00:00:30.663 --> 00:00:32.497 Serce ma cztery jamy. 00:00:32.497 --> 00:00:33.730 Dwie na górze i dwie na dole. 00:00:33.730 --> 00:00:37.473 Nieutlenowana krew dostaje się do płuc 00:00:38.104 --> 00:00:41.300 z prawej komory. 00:00:41.623 --> 00:00:43.148 Pamiętaj, że na schemacie strony są odwrócone, 00:00:43.148 --> 00:00:45.230 tak jakby ta osoba stała przed Tobą. 00:00:45.230 --> 00:00:47.546 Więc tutaj jest strona prawa, a tutaj lewa. 00:00:47.546 --> 00:00:50.280 Czyli krew przepływa z prawej komory do płuc, 00:00:50.280 --> 00:00:54.230 a później do lewego przedsionka, 00:00:54.230 --> 00:00:58.162 w którym jest już utlenowana. 00:00:58.162 --> 00:00:59.199 00:00:59.199 --> 00:01:00.997 00:01:00.997 --> 00:01:03.430 00:01:03.430 --> 00:01:06.662 00:01:06.662 --> 00:01:09.113 00:01:09.113 --> 00:01:11.497 00:01:11.497 --> 00:01:15.155 00:01:15.679 --> 00:01:17.296 00:01:17.296 --> 00:01:20.182 00:01:22.813 --> 00:01:26.031 00:01:26.031 --> 00:01:28.412 00:01:28.412 --> 00:01:30.897 00:01:30.897 --> 00:01:32.747 00:01:32.747 --> 00:01:35.697 00:01:35.697 --> 00:01:39.231 00:01:39.231 --> 00:01:42.012 00:01:42.012 --> 00:01:44.412 00:01:44.412 --> 00:01:46.698 00:01:46.698 --> 00:01:49.212 00:01:49.212 --> 00:01:51.813 00:01:51.813 --> 00:01:54.080 00:01:54.080 --> 00:01:55.813 00:01:55.813 --> 00:01:58.046 00:01:58.046 --> 00:02:01.364 00:02:01.364 --> 00:02:04.079 00:02:04.079 --> 00:02:06.746 00:02:06.746 --> 00:02:08.896 00:02:08.896 --> 00:02:10.613 00:02:10.613 --> 00:02:12.763 00:02:12.763 --> 00:02:15.363 00:02:15.363 --> 00:02:19.199 00:02:19.646 --> 00:02:23.107 00:02:23.107 --> 00:02:26.323 00:02:26.323 --> 00:02:29.523 00:02:29.523 --> 00:02:30.622 00:02:30.622 --> 00:02:33.357 00:02:33.357 --> 00:02:35.940 00:02:35.940 --> 00:02:37.440 00:02:37.440 --> 00:02:39.857 00:02:39.857 --> 00:02:42.539 00:02:42.539 --> 00:02:44.639 00:02:45.055 --> 00:02:47.257 00:02:47.257 --> 00:02:48.472 00:02:48.472 --> 00:02:52.590 00:02:52.590 --> 00:02:54.823 00:02:54.823 --> 00:02:56.646 00:02:56.646 --> 00:02:59.006 00:02:59.006 --> 00:03:00.407 00:03:00.407 --> 00:03:03.884 00:03:03.884 --> 00:03:05.867 00:03:05.867 --> 00:03:08.883 00:03:08.883 --> 00:03:10.183 00:03:10.183 --> 00:03:12.917 00:03:12.917 --> 00:03:15.300 00:03:15.300 --> 00:03:16.550 00:03:16.550 --> 00:03:17.751 00:03:17.751 --> 00:03:19.501 00:03:19.501 --> 00:03:22.050 00:03:22.050 --> 00:03:23.977 00:03:23.977 --> 00:03:26.859 00:03:26.859 --> 00:03:30.060 00:03:30.060 --> 00:03:33.253 00:03:33.253 --> 00:03:36.177 00:03:36.177 --> 00:03:37.942 00:03:37.942 --> 00:03:40.443 00:03:40.443 --> 00:03:43.094 00:03:43.094 --> 00:03:45.858 00:03:45.858 --> 00:03:48.311 00:03:48.311 --> 00:03:50.926 00:03:50.926 --> 00:03:53.860 00:03:53.860 --> 00:03:57.394 00:03:57.394 --> 00:03:58.944 00:03:58.944 --> 00:04:01.659 00:04:01.659 --> 00:04:04.026 00:04:04.026 --> 00:04:06.927 00:04:06.927 --> 00:04:08.609 00:04:08.609 --> 00:04:10.358 00:04:10.358 --> 00:04:12.709 00:04:12.709 --> 00:04:15.227 00:04:15.227 --> 00:04:16.760 00:04:16.760 --> 00:04:19.644 00:04:19.644 --> 00:04:23.182