我们的网站为什么显示成这样?

可能因为您的浏览器不支持样式,您可以更新您的浏览器到最新版本,以获取对此功能的支持,访问下面的网站,获取关于浏览器的信息:

|本期目录/Table of Contents|

妊娠高血压患者的左室功能及血液动力学变化(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
1994年第1期
页码:
16-19
栏目:
论著
出版日期:
1994-01-01

文章信息/Info

Title:
Changes of left ventricular function and hemodynamics in pregnant women with hypertension
作者:
李春盛 张 宏 徐 震
北京军区总医院急诊科 100700
Author(s):
Li ChunshengZhang Hong and Xu Zhen
Beijing Military Command General Hospital,Beijing 100700
关键词:
高血压妊娠超声心动描记术心脏功能左室血液动力学
Keywords:
Hypertensionechocardiographyheart functionleft ventriclehemodynamics
分类号:
-
DOI:
-
文献标识码:
-
摘要:
本文应用超声心动图测定了23倒妊娠高血压症,20例晚期妊娠和20例正常妇女左室功能和血液动力学变化,并进行了比较。结果表明:妊娠高血压是由于妊娠所致的血容量增高导致的容量性高血压,其主要特点是:心输出量增加,外周阻力降低,未发现潜在的心功能不全。
Abstract:
Changes of left ventricular fuuction and hemodynamics were studied in 63 female subjects using echocardiography.These subjects were divided into three groups: Group 1,20 healthy nonpregnant women;Group 2,20 normotensive late pregnant women;and Group 3,23 women with pregnancy-induced hypertension.The results showed that the hypertensive pregnant women had significantly higher HR,SV and EF than those of nomnal controls(P<0.01).LVM,LVPWS,FS,Dd,REFLV,RFDD,SFDd and PWTd were more markedly increased in hypertensive pregnant women than those in normal controls.Significant in verse corre1ation was found between increased CO and lowered SVR (r=-0.96)in hypertensive pregnant women.In comparisen with normotensive women with late pregnancy ,CO and SV increased by 26.3% and 22.1% respectively,EF and LVM were significantly increased(P<0.01)and SVR significantly lowered in hypertensive pregnant women.In conclusion,hypertension of pregnancy was volume Over-1oaded hypertension causcd by pregnancy,characterized by a marked increase in CO and a noticeable decline in SVR.Howevor,potential cardiac dysfunction was not found.

参考文献/References

[1]王淑贞主编.妇产理论与实践.上海:上海科学技术出版社,1981:664.

[2]Messerli FH.et al.Cardiodynamics of hypertension:a guide to selection of therapy.J Clin Hypertension 1986;3:100.

[3]Weir MR,et al.Physiologic and hemodynamic consderations in blood pressure control while maintaining organ perfusion.Am J Cardiol 1988;61:60H.

[4]Kuzniar J,et a1.Echocardiographic estimation of hemodynamics in hypcrtensive pregnancy.Am J Obstet Gynecol 1982;144:430.

[5]Assali NS,et a1.Systemic and regional alterations in toxemia.Circula tion 1969;30(supply2):11.

[6]Metcalfe J,et a1.Maternal cardioVascular adjustments to pregnancy.Preg Cardiovasc Dis 1974;16:368.

[7]Lim YL,et a1.Hemodynamics of mild hypertension in pregnancy.Br J Obstot Gynecol 1979;86:198.

[8] Pritchard JR.Changes in the blood volume during pregnancy and delivery.Anosthosielegy 1965;26:393.

[9]朱宪彝.从大批所谓原发性高血压病人中筛选若干种内分泌性和非内分泌性高血压病人(续一),天津医药 1977;1:616.

备注/Memo

备注/Memo:
收稿 l992-04-13;修回 1993-05-18
更新日期/Last Update: 1994-01-01