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Tei指数评估晚期肝病患者右心室功能的临床研究
引用本文:赵晓月,罗显荣,曾国兵,权太东,余宙耀,陈世洪,吴烈. Tei指数评估晚期肝病患者右心室功能的临床研究[J]. 中国心血管杂志, 2007, 12(4): 290-291
作者姓名:赵晓月  罗显荣  曾国兵  权太东  余宙耀  陈世洪  吴烈
作者单位:1. 解放军第四五八医院特诊科,广东,广州,510602
2. 解放军第四五八医院肝病中心,广东,广州,510602
3. 解放军第四五八医院肝胆外科,广东,广州,510602
摘    要:目的探讨Tei指数在评估晚期肝病患者右心室功能的临床价值。方法对45例晚期肝病患者进行了对比增强超声心动图(CEE)的筛查及右心功能参数的测量,根据CEE检查结果将患者分为有(CEE+)或无(CEE-)肺内分流两组;并根据肺内分流程度分为1+、2+两组,对比分析各组间右心室Tei指数和E/A比值的差异。结果(1)右心室Tei指数在肺内分流组显著高于无肺内分流组(0.47±0.13vs.0.31±0.10,P<0.001);(2)肺内分流2+组较1+组右心室Tei指数增高,但差异无统计学意义。结论晚期肝病患者的右心室Tei指数与肺内分流的出现与否相关,可作为反映右心室功能受损情况敏感、简便的指标。

关 键 词:Tei指数  晚期肝病  心功能,右心室
文章编号:1007-5410(2007)04-0290-02
修稿时间:2007-02-17

Evaluation of right ventricular function by Tei index in patients with end-stage hepatic diseases
ZHAO Xiao-yue,LUO Xian-rong,ZENG Guo-bing,QUAN Tai-dong,YU Zhou-yao,CHEN Shi-hong,WU Lie. Evaluation of right ventricular function by Tei index in patients with end-stage hepatic diseases[J]. Chinese Journal of Cardiovascular Medicine, 2007, 12(4): 290-291
Authors:ZHAO Xiao-yue  LUO Xian-rong  ZENG Guo-bing  QUAN Tai-dong  YU Zhou-yao  CHEN Shi-hong  WU Lie
Affiliation:1.Department of Physical Diagnostics,2.Department of Hepatic Diseases,3.Department of Liver and Gall Surgery,458 th Hospital of PLA,Guangzhou 510602,China
Abstract:Objective To evaluate right ventricular function by Tei index in patients with end-stage hepatic diseases.Methods Fourty-five patients with end-stage hepatic diseases were divided two groups: IPVS(intrapulmonary vascular shunting) group and non-IPVS group IPVS was detected by contrast-enhanced echocardiography(CEE).Right ventricular(RV) Tei index was measured.Results Tei index was significant higher in IPVS group than in non-IPVS group(0.47±0.13 vs.0.31±0.10,P<0.001).Conclusions RV Tei index is correlated with intrapulmonary shunting and could be used to evaluate RV function in patients with end-stage hepatic diseases.
Keywords:Tei index  End-stage hepatic disease  Ventricular function  right
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