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负荷多普勒超声心动图对机械瓣血流动力学的临床评价
引用本文:廖斌 田子林. 负荷多普勒超声心动图对机械瓣血流动力学的临床评价[J]. 中国胸心血管外科临床杂志, 1994, 1(2): 68-71
作者姓名:廖斌 田子林
作者单位:华西医科大学附一院胸心外科,泸州医学院附院胸心外科
摘    要:
本研究应用负荷多普勒超声心动图,检测31例置换四种不同机械瓣术后4~16月的体内血流动力学。结果显示:(1)四种人工心瓣在运动和休息时PGpeak、PGmean、EOA差异无显著性(P>0.05)。(2)BWV和CM的流场均匀性优于GK和MH。(3)流场均匀性是评价体内机械瓣血流动力学的有重要意义的指标。(4)成都双叶翼型机械瓣具有当今流行机械心瓣的优良血流动力学品质。

关 键 词:人工心瓣,血流动力学,多普勒超声心动图

Clinical Hssessment on the Hemodynamics of Mechanical heart Valve Using Exercise Doppler Echocardiography
Liao Bin,Tian Zi-pu,Tang Lan-zhen,et al. Clinical Hssessment on the Hemodynamics of Mechanical heart Valve Using Exercise Doppler Echocardiography[J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 1994, 1(2): 68-71
Authors:Liao Bin  Tian Zi-pu  Tang Lan-zhen  et al
Abstract:
In this study,the hemodpoamic of four different kinds of mechanical heart valve was detected in 34 patients with rheumatic heart disease from 6 to 16 months after mitral valve replacement using exercise Doppler echoardiography.The results showed that:(1)There were no significant difference among the four kinds of mechanical valve(BWV,CM,GK,and MH prostheses)in calculated effetive valve orfice area,resting and exercise peak pressure gradients or mean pressure gradients.(P>0.05)(2)The flow field distribution(FFD)of BWV and CM prostheses is better than that of GK,and MH prosteses.(3)Flow field distribution(FFD)is a useful in the assessment of the hemodynamics of mechanical prosthetic valve.
Keywords:Prosthetic heart Valve  Hemodynamics  Doppler echocardiography
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