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《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:

1997年第4期

页码:

212-214

栏目:

论著

出版日期:

1997-08-01

文章信息/Info

Title:

Left heart function in chronic cor pulmonale

作者:

吴为群¹　容中生¹　余斌杰²

中山医科大学附属第一医院　1 呼吸内科　2 内科　广州 510080

Author(s):

Wu Weiqun1;  Rong Zhongsheng1;  Yu Binjie2

Department of Internal Medicine, the Ffirst Affiliated Hospital of Zhongshan Medical University, Guangzhou 510080

关键词:

肺心病　放射性核素成像　心脏功能试验

Keywords:

pulmonary heart disease　　radionuclide imaging 　　heart function tests

分类号:

-

DOI:

-

文献标识码:

-

摘要:

20例对照者和75例慢阻肺、肺心病患者用C照相机测定其左室射血分数(LVEF) , 并从中选择30例典型肺心病病人(包括失代偿期病人) 行Swan-Ganz 导管检查, 以测量肺毛嵌压等参数。通过协方差分析, 除外年龄、心率的影响后, 各组间LVEF均无显著差异(P>0.05)。30例肺心病病人的肺毛嵌压、心脏指数均在正常范围内。提示慢性肺心病病人, 即使是心功失代偿期, 其左心功能也基本是正常的。

Abstract:

Noninvasive measurements of left ventricular ejection fraction (LVEF) by radiounclide ventriculography were performed in 20 control subjects and 75 patients with chronic obstructive pu lmonary disease (COPD) and cor pulmonale. Simultaneous right heart catherizations were performed in 30 patients with cor pulmonale to determine pulmonary capillary wedged pressure (PCWP). After excep ting the effects of age and cardiac rate, the mean LVEFs did not show significant difference among the groups (P>0.05). The PCWP and cardic index of the 30 patients with cor pulmonale were all norm al. It suggested that the left heart function in patients with chronic cor pulmonale, even if in decompensatary phase,is normal.

参考文献/References

［1］陈慧漪. 慢性肺心病的左心问题(综述). 中华结核和呼吸系疾病杂志, 1981; 4 (1) : 51.

［2］Niederman MS, Matthay RA. Cardiovascular function in secondary hypertension. Heart and Lung , 1986; 15 (4) : 341.

［3］Seibold H, Roth U , Lippert R, et al. Left heart function in chronic obstructive lung disease.klin Wochenschr, 1986; 64 (9) : 433.

［4］张洪玉, 邱鹤庚, 翁心植, 等. 慢性肺心病左心功能探讨. 首都医学院学报, 1990; 11 (1) : 36.

［5］张金谷, 郑柏洁, 王　铁, 等. 肺心病患者核素左右心室收缩与舒张功能变化125 例临床观察.中华核医学杂志, 1991; 11 (4) : 223.

［6］陶家驹, 张久山. 对慢性肺心病左心功能损害的探讨. 天津医药, 1989; (9) : 515.

［7］Steele PP, Ellis JH, Van Dyke D, et al. Left ventricular ejection fraction in sever chronic obstructive airways disease. Am J Med , 1975; 59:21.

备注/Memo

备注/Memo:

Received 1996-04-17

常用功能

更新日期/Last Update: 1997-08-01