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|本期目录/Table of Contents|

应用超声评价各类心脏病心衰患者左心收缩功能的临床价值 (PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
1994年第3期
页码:
145-148
栏目:
论著
出版日期:
1994-05-01

文章信息/Info

Title:
Evaluation of clinical efficacy of left ventricular systolic function with two-dimensional echocardiography in patents with heart failure
作者:
丁育增 刘炎亭 王晓玲
陕西省人民医院 西安 710068
Author(s):
Ding Yuzeng; Liu Yanting; Wang Xiaoling
Shaanxi Provincial People’s Hospital，Xi’an 710068
关键词:
超声心动描记术; 2DE; 心力衰竭;  左室收缩功能
Keywords:
two-dimensional echocardiography; heart failure; 1eftventricu1ar systolic; function
分类号:
-
DOI:
-
文献标识码:
-
摘要:
本文应用二维超声心动图对各类心脏病所致的心力衰竭患者与正常对照组进行左室收缩功能的测定，并计算左房大小与心衰程度的关系。结果表明心衰组患者左室射血分数(EF)和面积缩小分数(FA)明显低于正常对照组P<0.001)，是评价左室心肌收缩功能敏感的指标，而每搏量及心排血量对评价心衰则相对不敏感。EF、FA_与左房测值均呈负相关(r分别为-0.61和-0.60)，且左房增大的幅度与心衰程度有关(F=6.834，P<0.001)，提示左房测值可作为左心衰竭的敏感指标。
Abstract:
Left ventricular systolic function was quantitative1y assessed with two-dimensional echocardiography in normal controls and patients with heart failure resulting from various heart diseases，and the relationship between left atrium volume and the degree of heart failure was a1so investigated.The results showed that left ventricular ejection fractionand area shortening fraction decreased significantly(P<0.001).The twoindicesare sensitive in the assessment of left ventricular systolic function，while the indices of stroke volume and cardiac output are insensitive.Ejection fraction and area shortening fraction were correlated negatively with left atrium volume(r=-0.61，P<0.01；r=0.60，P<0.01)，and the rangeof left atrium expansion was related to the degree of heart failure(F=6.834，P<0.01)．These results suggestedthat left atrium volume may be used as a sensitive indicator of left heart failure．

参考文献/References

［1］Starling NR,Crawford MH,Sorensen SG,et al.Comparative accuracy of apical biplane cross-sectional echocardiography and gated equi1ibrium radionuc1ide angiography for estimating left ventricular size and performance.Circulation 1981;63:1075.

［2］Eaton LW,Maughan WL，Weiss JL,et al.Accurate volume determination in the isolated ejecting canine heart from a limited number of two- dimensional ecnocardiographic cross-sections.Am J Cardiol 1980：45：470.

［3］刘伊丽,贾满盈,秦建新,等.三种无创性影像诊断技术对冠心病左室射血分数的估价.中华心血管病杂志 1991： 19(6)：348.

［4］李隆贵，译．冠心病左房大小与左室功能超声心动图与血管造影的相关研究.国外医学心血管病分 1983；10(2):106.

备注/Memo

备注/Memo:
received 1993-03-31
更新日期/Last Update: 1994-05-01