高原心脏病诊断标准探讨

为探讨高原心脏病(高心)诊断标准,回顾分析了按1982年高原医学学术讨论会拟定稿诊断的高心100例。其中2例为扩张型心肌病,1例为原发性肺动脉高压。余下的97例中25例存在明显阻塞性通气阻碍、低氧血症和高碳酸血症,应诊断为慢性肺原性心脏病(肺心);45例肺动脉压正常,应诊断为慢性高原反应(高反),确诊为高心者27例。为提高高心诊断的正确率,作者对高心、肺心和高反组的X线、心电图、超声心动图、血气分析、肺功能和右心导管检查结果进行了比较,并据此提出了高心诊断的参考指标。

THE STUDY ON THE DIAGNOSTIC CRITERIA OF HIGH ALTITUDE HEART DISEASE

To study the diagnostic criteria of high altitude heart disease, 100 cases diagnosed on the diagnostic criteria of high altitude medical symposium in 1982 were reviewed. Among the 100 cases, 2 cases were dilated cardiomyopathy, 1 case was primary pulmonary hypertension. In the remained 97 cases, 25 cases had severe obstructive damage of lung function, hypoxemia and hypercapnia and should be diagnosed as chronic cot puimonah. 45 cases had normal pulmonay arterial pressure and should be diagnsed as chronic high altitude reaction. The cases with correct high altitude heart disease were only. 27. To increase the diagnostic accuracy,author compared the results on X-ray,ECG,ECHO, blood gas analysis, lung function and cardiac catheterization and the diagnostic criteria for high altitude heart disease was suggested.