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梗阻性黄疸对肝脏血流动力学的影响
引用本文:石景森,卢云,艾红,韩月,于跃利,李国才.梗阻性黄疸对肝脏血流动力学的影响[J].世界华人消化杂志,1998,6(11):974-975.
作者姓名:石景森  卢云  艾红  韩月  于跃利  李国才
作者单位:710061,陕西省西安市,西安医科大学第一临床医学院肝胆外科研究室.
摘    要:目的探讨梗阻性黄疸对肝脏血流动力学的影响.方法采用彩色多普勒血流显象仪对20例梗阻性黄疸患者的肝固有动脉和门静脉血流进行定量测量,并与20例正常人进行对比分析.结果梗阻性黄疸患者肝固有动脉的峰值流速(cm/s,92±15vs69±19,P<005)、血流量(mL/min,714±363vs305±121,P<001)显著高于正常人;门静脉血管内径(cm,125±024vs104±019,P<001)及门脉充血指数(cm×s,0141±0013vs0119±0013,P<001)明显高于正常人.但门静脉血流量及峰值流速则低于正常人.结论彩色多普勒血流显象仪探讨梗阻性黄疸时肝脏血流动力学改变的较理想非创伤性方法,根据其有效循环血容量的改变可初步判断梗阻性黄疸的预后

关 键 词:黄疸  肝/血液供给  血液动力学  门静脉
修稿时间:1998-07-28

Influence of obstructive jaundice upon liver hemodynamics
SHI Jing Sen ,LU Yun ,AI Hong ,HAN Yue ,YU Yue Li and LI Guo Cai Research of Hepato biliary Surgery.Influence of obstructive jaundice upon liver hemodynamics[J].World Chinese Journal of Digestology,1998,6(11):974-975.
Authors:SHI Jing Sen  LU Yun  AI Hong  HAN Yue  YU Yue Li and LI Guo Cai Research of Hepato biliary Surgery
Institution:SHI Jing Sen 1,LU Yun 1,AI Hong 2,HAN Yue 1,YU Yue Li 1 and LI Guo Cai 1 1Research of Hepato biliary Surgery,2Department of Ultrasonography,First Affiliated Hospital,Xi'an Medical University,Xi'an 710061,Shanxi Province
Abstract:AIM To observe hemodynamic changes in patients with obstructive jaundice. METHODS We prospectively studied 20 patients with obstructive jaundice and 20 normal subjects by Color Doppler flow imaging (CDFI). RESULTS The results showed that the peak systolic velocity and blood flow of hepatic artery in patient group were significantly higher than that in control group. The diameter and congestion index of portal vein were higher significantly also. But the blood flow and velocity of portal vein in patient group were lower than that in control group. CONCLUSION CDFI for liver hemodynamicl changes is a best method. They play an important role for prognostic evaluation.
Keywords:jaundice  liver/blood supply  hemodynamics  portal vein
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