| 二尖瓣球囊瓣膜成形术对重度肺高压和心输出量的即刻和远期影响：频谱多普勒与心导管对比研究 |
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| 引用本文： | 葛志明,张运,王丽清.二尖瓣球囊瓣膜成形术对重度肺高压和心输出量的即刻和远期影响：频谱多普勒与心导管对比研究[J].岭南心血管病杂志,1999,5(1):36. |
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| 作者姓名： | 葛志明 张运 王丽清 |
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| 作者单位： | 济南市山东医科大学附属医院(葛志明!250012，张运!250012，季晓平!250012，张梅!250012，张薇!250012，黎莉!250012)，青岛海员医院(王丽清)，沙特国王专家医院(M.E.Fawzy)，挪威Trondheim大学医院(L.Hatle)，美国蒙大拿州St.Patrick医院(CMG.Duran) |
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| 摘 要： | 目的 定量评价二尖瓣球囊瓣膜成形术对肺高压和心输出量的即刻和远期影响。方法 应用频谱多普勒和心导管技术测定了４７ 例二尖瓣球囊瓣膜成形术（ＭＢＶＰ） 患者术前和术后长期随访的血流动力学改变。结果ＭＢＶＰ后即刻和随访期较术前心脏指数显著增加。肺动脉高压状态显著降低（Ｐ＜ ０．０１）。结论 ＭＢＶＰ可显著改善二狭患者术后即刻和长期的血流动力学；频谱多普勒是无创定量评价和随访ＭＢＶＰ疗效的可靠技术。
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| 关 键 词： | 频谱多普勒 心导管 二尖瓣球囊瓣膜成形术 |
Im mediate and long - term effect of mitral balloon valvoplasty on severe pulmonary hypertension and cardiac output:spectral doppler and catheterization study |
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| Ge Zhiming,Zhang Yun,Wang Liqing,et al..Im mediate and long - term effect of mitral balloon valvoplasty on severe pulmonary hypertension and cardiac output:spectral doppler and catheterization study[J].South China Journal of Cardiovascular Diseases,1999,5(1):36. |
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| Authors: | Ge Zhiming Zhang Yun Wang Liqing |
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| Institution: | Ge Zhiming,Zhang Yun,Wang Liqing,et al. Department of Cardiology Affiliated Hospital,Shandong Medical University. Jinan 250012 |
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| Abstract: | Objective Quantitatively assessing the immediate and long - term effect of mitral balloon valvoplasty on severe pulmonary hypertension and cardiac output.Methods Hemodynamic changes were evaluated by spectral doppler - echo and cardiac catheterization in 47 patients with severe mitralstenosis and pulmonary hy pertension before ,immediate after mitral balloon valvo plasty( MBVP)and at follow - up.Results It was re vealed that cardiac indexes increased significantly and pulmonary hypertension reduced markedly after MBVP and atfollow - up ( P< 0-01) .Conclusion MBVPcan improvesignificantlytheimmediateandlong-term hemo dynamic statusin patients with mitral stenosis after MB VP;spectral Doppler- echois a reliabletechnique in the noninvasive quantification ofthe shortand long-term ef fect of MBVP. |
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| Keywords: | Spectral doppler- echo Cardiac catheterization Mitralballoon valvoplasty |
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