慢性肺心病急性发作期肝循环障碍研究

目的 研究慢性肺心病急发期肝循环的变化。方法 慢性肺心急发期患者28例，治疗前分别测定血气分析及常规肝功能，并描记心，肝阻扰微分图，计算心输出量，肝血流量，肝血流量，肝动脉血流量和门静脉血量，结果 慢性肺心病急性期肝脏，肝动脉及门静血流量均明显减少，以并以右以心衰时为甚。结论 慢性肺心病急发期存在明显的肝循环障碍，且发生较早，是造成肝脏损害的主要原因。

Liver Circulation Obstruction in Advanced Chronic Cor Pulmonale in the Acute Attack Period

Objective To study the change of live circulation in advanced chronic cor pulmonale.Methods Determination of blood gas,liver function and rheohepatogram were performed in twenty-eight patients with chronic cor pulmonale in acute attack period before treatment,and accounted for the cardiac output(CO),hepatic blood flow(HBF),hepatic artery blood flow(HABF) and portal vein blood flow(PVBF).Results The experimental group was compared with the control group,the HBF,HABF and PVBF were decreased,which was more dramatic in the patients with chronic cor pulmonale,who had right ventricular failure complication in the acute attack period.Conclusion In acute attack period of chronic cor pulmonale,the liver circulation obstruction occurs early,and it is the main cause of liver damage for the patients.