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下腔静脉采超测定在血透者干体重确定中的应用
引用本文:丁苏青,马彩娥,吕发勤,胡艳芳,张宏勋. 下腔静脉采超测定在血透者干体重确定中的应用[J]. 海军医学杂志, 2002, 23(1): 41-43
作者姓名:丁苏青  马彩娥  吕发勤  胡艳芳  张宏勋
作者单位:解放军第四○一医院 山东青岛266071(丁苏青,马彩娥,吕发勤,胡艳芳),解放军第四○一医院 山东青岛266071(张宏勋)
摘    要:目的 :探讨维持性血液透析患者干体重确定的安全、准确的方法。方法 :对 6 8例维持性血液透析患者应用彩色多普勒超声仪 ,在透析前后测定下腔静脉直径 (IVCD) ,计算IVCD与体表面积之比 (VCD)同时结合临床及检查等。并分组观察血压、超滤量等相关影响因素 ,进行对照分析。结果 :整体透析超滤之后 ,VCD均值为 (9.4 5± 2 .2 9) ,较透析前显著减小 ,与正常对照组无显著性差异 ,结合胸片血压及临床症状 ,确定达到干体重。高血压、超滤率≥ 2 .5时IVCD、VCD值大于整体均值。结论 :彩色多普勒测定IVCD及VCD是确定维持性血透患者干体重的好方法。

关 键 词:下腔静脉直径 干体重 血液透析 彩色多普勒超声仪 超滤率 测定 应用
文章编号:1009-0754(2002)01-0041-03
修稿时间:2001-08-10

The Influence of Meteorological Factors on the Incidence of Hypertensive Cerebral Hemorrhage
WANG Hui ling,XU Yuan liang,HU Shou guan. The Influence of Meteorological Factors on the Incidence of Hypertensive Cerebral Hemorrhage[J]. Journal of Navy Medicine, 2002, 23(1): 41-43
Authors:WANG Hui ling  XU Yuan liang  HU Shou guan
Abstract:Objective: To discuss the influence of meteorological factors on the incidence of hypertensive cerebral hemorrhage. Methods: To analyze the relationship between the attack time of the disease and meteorological factors in 62 cases in Hangzhou area. Results: There were 37 cases sufferring from the disease in January, February, December, due to low temperature and high atmospheric pressure (37/62). Low incidence occurred in July, August, September, due to high temperature, low pressure (6/62). There was significant discrepancy between the two accounts (P<0.01). Conclusion: Hypertensive cerebral hemorrhage may be caused by low temperature, high pressure.
Keywords:hypertensive cerebral hemorrhage  meteorological factors  prevention
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