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991.
目的 检测右室舒张功能的随龄演变规律。方法 用脉冲多普勒超声心动图记录320例健康知识分子的三尖瓣血流频谱,年龄范围26~90岁。结果 右室舒张功能指标Er、EMVr、EDVr、Eir、13FFr、NPFRr、ErAr、随年龄增加分别降低,而EDTcr、Ar、Air、AFFr、随年龄增加而增加。EATcr、EAVr、在各年龄组中无变化。结论 右室的舒张功能年龄增长而减低 相似文献
992.
为探讨低剂量丙酸倍氯松吸入对轻度哮喘儿童肺功能及气道高反应性的影响,将 30例轻度哮喘患儿(年龄 5~ 14岁,男21例,女 9例)随机分为 3组(每组 10例),分别吸入安慰剂,BDP200或400μg/日,结果:患儿吸入200或400μg/日的BDP后,哮喘症状明显改善, FEVI及 PEF明显升高。且Log[PD20FEV1(μg)]显著增加即 BHR显著下降。其下降程度随吸药时间的延长而增加,而对照组的各项指标均无明显变化。200μg组及400μg组间有关临床症状改善,各项肺功能指标及 BHR的变化,不存在显著差异(P均<0.05)。结论:吸入200μg/日的BDP即能有效地控制轻度儿童哮喘患者的临床症状,改善其肺功能并降低BHR,将剂量增力。至400μg/日并不能明显增力。疗效。建议临床上使用BDP吸入疗法治疗轻度儿童哮喘时,宜采用200μg/日为常规剂量。 相似文献
993.
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996.
对73例慢性乙型肝炎患者随机分为两组,即异体LAK细胞联合IL-2治疗组48例和一般护肝药物对照组25例。在治疗前及治疗后一个月检测直炎病毒DNA〉两对半血清HBV标志物、肝功能等项目。结果显示治疗组HBeAg为60.4%,HBcAg、抗HBcIgM及HBVDNA的阴转率分别为37.5%、29.2%和41.7%。HBsAg阴转率为6.3%与对照组无显著性差异。治疗组肝功能恢复较对照组佳 。 相似文献
997.
视觉电生理联合应用对眼外伤视觉功能的评价 总被引:11,自引:1,他引:10
联合使用视觉电生理检查法评估外伤眼的视功能。方法单纯眼外伤30例按受伤程度分3组,健康对侧眼为对照组,比较各组VEPP100波潜伏值,30Hz红闪炮光ERG的振幅和暗适应ERGa、b波振幅的平均值。结论联合应用视觉电生理检测法是评价眼外伤视功能的可靠依据。 相似文献
998.
洛沙坦抗高血压及左室肥厚的疗效观察 总被引:4,自引:0,他引:4
目的 :观察血管紧张素 受体拮抗剂—洛沙坦的降压效果及对高血压病合并左室肥厚的影响。方法 :4 6例合并左室肥厚的 期高血压病患者服用洛沙坦 5 0 mg/ d,观察其血压的变化及治疗前和 6个月后左室质量 (L VM)。结果 :用洛沙坦后 4 d~ 6d血压开始下降 ,2周血压趋向正常 ,4周血压继续缓慢下降 ,6周时达到最大降压效果。 L VM在 12周时无明显变化。 2 4周表现轻度 L VM减少。结论 :洛沙坦是抗高血压的一个有效治疗药物 ,对左心室肥厚有轻度逆转作用 相似文献
999.
Progressive ECG changes in arrhythmogenic right ventricular disease Evidence foran evolving disease 总被引:1,自引:0,他引:1
Electrocardiography results were used to assess diagnosis andevolution of arrhythmogenic right ventricular disease. The initialECG presentation and long-term changes were analysed in 74consecutivepatients with symptomatic ventricular tachycardia and arrhythmogenicright ventricular disease. On first available tracings, a left axis deviation of the QRSwas found in 18 patients. The QRS length in V1 was 110 ms in39 patients, an epsilon wave was present in 17, and a completenght bundle branch block in four patients. The T wave was negativein V1V3 in 37 patients (50%). In 36 patients, long-term electrocardiographic follow-up of9.5 ± 3.2 years was available. During this period, ECGchanges were observed in 20 patients (56%):negative T wavesin 11 patients, a new left axis deviation in three, QRS enlargementin 13 (including eight right bundle branch block), right atrialhypertrophy in three, and paroxysmal or established atrial fibrillationin three. On studying all 110 ECG tracings (74 initial recordings +36follow-up ECGs), we found a strong correlation between QRS orT wave changes and the length of follow-up after the first symptom;mean time interval between first ventricular tachycardia andECG recording was significantly longer in patients with negativeT waves in the right precordial leads, QRS enlargement, or leftaxis deviation, than in patients without such abnormalities.ECG abnormalities were more frequent at 10 year and 5 year follow-upthan on initial tracings. A normal ECG was found in 40% of patientsduring the first year of follow-up, 8% at 5 years, and neverlater than the 6th year. In conclusion, electrocardiographic diagnosis of arrhythmogenicright ventricular disease may be difficult in the initial stageof the disease, since a normal ECG is found in up to 40% ofpatients. During the follow-up, progressive and characteristicECG changes will occur. Arrhythmogenic right ventricular diseasecan be excluded if the ECG is found to be normal 6 years orlater after a first ventricular tachycardia attack. 相似文献
1000.
BACKGROUND: Recent studies have shown that left ventricular geometric adaptationto hypertension is complex. The spectrum of geometric adaptationsin a general population and its relationship to systolic anddiastolic function has, however, not been investigated. OBJECTIVES AND METHODS: This echocardiographic and Doppler study investigated the relationshipsbetween left ventricular geometric shape (normal, concentricremodelling, concentric hypertrophy and eccentric hypertrophy)and left ventricular systolic and diastolic function in a populationsample of 584 males aged 70 in Uppsala, Sweden. The influencesof hypertension, coronary heart disease and diabetes mellituswere also evaluated. RESULTS: Sixteen percent of the healthy population (n=167) demonstratedthe presence of left ventricular hypertrophy (mainly eccentric).Subjects with hypertension (n=115) showed an increased leftventricular mass (eccentric left ventricular hypertrophy 31%,concentric left ventricular hypertrophy 15%), when comparedwith healthy subjects (P<0.001). Subjects with coronary heartdisease (n=32) without hypertension also showed an increasedleft ventricular mass (most often eccentric) (P<0.05). UsingDoppler determinations of cardiac index, no differences werefound in cardiac index between the geometric groups. Raisedtotal peripheral resistance, increased blood pressure and enlargedleft atrium were found in both concentric and eccentric leftventricular hypertrophy (P<0.010.05). Disturbed diastolicfunction was seen with a prolongation of the isovolumic relaxationtime in eccentric (P<0.01) and increased atrial-dependentleft ventricular filling in concentric left ventricular hypertrophy(P<0.05). CONCLUSIONS: Alterations in left ventricular geometry were common in thispopulation-based study of elderly males, both in healthy subjectsand in subjects with hypertension or coronary heart disease.Raised total peripheral resistance and left ventricular diastolicdysfunction were common findings in both concentric and eccentricleft ventricular hypertrophy. 相似文献