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成人法乐四联症手术前后左室容积和收缩功能的比较(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2003年第1期
页码:
45-46
栏目:
临床研究
出版日期:
2003-01-01

文章信息/Info

Title:
Contrast research on left ventricular volume and systolic function between pre-operation and post-operation on adults with tetralogy of Fallot
作者:
侯传举1; 王巧玲2; 邓东安1; 曾慧茹2; 邸继红2; 朱鲜阳1
1.沈阳军区总医院心血管病研究所内科,辽宁 沈阳 110016;2.沈阳军区202医院特诊科,辽宁 沈阳 110032
Author(s):
HOU Chuan-ju1; WANG Qiao-ling2; DENG Dong-an1; ZENG Hui-ru2; DI Ji-hong2; ZHU Xian-yang1
Department of Cardiovascular Institute, GeneralHospitalCommand Shenyang, PLA,Shenyang,Liaoning110016,China
关键词:
法乐四联症; 超声心动描记术; 左室容积; 左室收缩功能
Keywords:
tetralogy of Fallot;  echocardiogrphy;  left ventricular volume;  left ventricular systolic function
分类号:
R541.1
DOI:
-
文献标识码:
A
摘要:
目的:对比成人法乐四联症(TOF)手术前后左室容积和收缩功能变化。方法:TOF32例在手术前后分别用超声心动图测量左室舒张末期和收缩末期内径,计算出左室舒张末期容积、收缩末期容积、每搏搏出量、射血分数和短轴缩短率。结果:手术后左室容积比手术前明显增大(P<0.01);左室收缩功能手术前后无明显改变(P>0.05)。结论:成人TOF手术前后只是左室容积变化,而左室收缩功能不受影响。
Abstract:
AIM: To observe the change of left ventricular volume and left ventricular systolic function in adult with tetralogy of Fallot (TOF) between pre-operation and post-operation. METHODS: Left ventricular end-diastolic in-diameter and left ventricular end-systolic in diameter were respectively measured by echocardiogrphy among 32 adult TOFs,before and after the operation.Left ventricular end-systilic volume (LVEVD), end-systolic volume (LVESD), stroke volume (LVSV), ejection fraction (LVEF) and fraction shortening (LVFS) were calculated spontaneously by the Cube formular set in the machine. RESULTS: The left ventriclar volumes in 32 patients after TOF operation obviously increased compared with those before the operation (P<0.01).The changes in left ventricular systolic function were not obvious and the differece was not significant (P>0.05). CONCLUSION: Comparison between pre-operation and post-operation on adult with TOF showed that difference existed only in the left ventricular volume and the left ventricular systolic function was not defected.

参考文献/References

[1] 吴炳祥, 魏淑莲, 董显辉, 等. 应用多普勒超声心动图测定左室功能可靠性的研究 [J] . 中华心血管病杂志, 1992, 20(5):298-300.

[2] Burwash LG, Otto CM, Pearlmen AS. Use of Doppler-derived lfet ventricular time intervals for noninvasive assessment of systolic function [J] . Am JC ardiol, 1993, 72(17):1331-1338.

[3] 张志梁, 朱洪生, 冯卓荣, 等. 法乐四联症矫正术前后左心室容 积及收缩功能 [J] . 中华胸心血管外科杂志, 1993, 9(4):292.

[4] Hausdor fG, Hinrichs C, Nienaber CA, et al. Surgical correction of tetralogy of Fallot: Risk factors for late left ventricular dysfunction [J] . Pediatr Cardiol, 1990, 11(2):61- 69.

[5] 张志梁, 朱洪生, 冯卓荣, 等. 连续100例法乐氏四联症矫正术早期结果及术后低心排综合征易发因素的探讨 [J] . 中华胸心 血管外科杂志, 1989, 5(3):195-197.

[6] 侯传举, 邓东安, 王巧玲, 等. 儿童法乐四联症手术前后左室容积和收缩功能对比研究 [J] . 中国实用儿科杂志, 2001, 16(1):43-44.

备注/Memo

备注/Memo:
收稿日期：2001-11-07.
更新日期/Last Update: 2003-01-01