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充血性心力衰竭门静脉与肝静脉多普勒血流频谱的观测
引用本文:李陶,杨未晓,王淑清.充血性心力衰竭门静脉与肝静脉多普勒血流频谱的观测[J].中国超声医学杂志,1999,15(9):675-677.
作者姓名:李陶  杨未晓  王淑清
作者单位:400042,重庆市第三军医大学大坪医院超声科
摘    要:目的⑶观测充血性心力衰竭门静脉、肝静脉血流⒙为判定充血性心力衰竭肝淤血与心功能情况提供方法⒚方法⑶多普勒超声观测 93 例心力衰竭患者及 30 例正常人门静脉平均血流速度⒉ P V ⒕、门静脉频谱波动率⒉ P R⒕、门静脉内径⒉ P D⒕、肝静脉内径⒉ H D⒕⒙并与超声心动图检测结果比较⒚结果⑶充血性心衰患者临床心功能降低、心舒缩功能减低、 H D 扩张与门静脉 P R 减低有较好相关性⒙且 P V 减慢⒚结论⑶多普勒观测充血性心力衰竭肝静脉、门静脉血流变化⒙是判定充血性心力衰竭时肝脏淤血与心功能情况的可靠指标⒚

关 键 词:充血性心力衰竭  门静脉  肝静脉  多普勒超声  超声心动图

Evaluation of Hepatic Vein and Portal Vein Blood Flow in Congestive Heart Failure by Doppler Ultrasound
Li Tao,Yang Weixiao,Wang Shuqing.Evaluation of Hepatic Vein and Portal Vein Blood Flow in Congestive Heart Failure by Doppler Ultrasound[J].Chinese Journal of Ultrasound in Medicine,1999,15(9):675-677.
Authors:Li Tao  Yang Weixiao  Wang Shuqing
Abstract:Objective:Examination of hepatic vein and portal vein in congestive heart failure to understand liver congestion and heart function.Methods:Pulsatility ratio(PR)of the portal vein,the portal vein velocity (PV),the portal vein diameter(PD)and hepatic vein diameter(HD)of 93 congestive heart failure patients and 30 control were detected by Doppler ultrasound and compared with the echocardiographic results.Results:Congestive heart failure patients showed reduced clinical heart function,reduced left ventricle systolic and diastolic function,increased HD were good agreeable with reduced portal vein PR.PV was reduced in congestive heart failure patients.Conclusion:Changes of hepatic vein and portal vein by Doppler ultrasound could be used as a reliable adjunctive signs of liver congestion and heart function in congstive heart failure
Keywords:Congestive heart failure  Portal vein  Hepatic vein  Doppler ultrasound  Echocardiography
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