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乙型肝炎肝硬化腹水患者心脏血流动力学临床观察
引用本文:封莉,李磊,丁惠国,平春霞,宋艳明,韩莹.乙型肝炎肝硬化腹水患者心脏血流动力学临床观察[J].传染病信息,2011,24(3):168-170.
作者姓名:封莉  李磊  丁惠国  平春霞  宋艳明  韩莹
作者单位:首都医科大学附属北京佑安医院消化科,100069
基金项目:中国肝炎防治基金会王宝恩肝纤维化研究基金
摘    要:目的研究乙型肝炎(乙肝)肝硬化腹水患者心脏血流动力学变化,探讨心脏血流动力学参数在肝硬化腹水中的临床意义。方法以27例乙肝肝硬化腹水患者为研究对象,将20例慢性乙肝患者设为对照组,采用无创血流动力检测仪测定心脏血流动力学参数。结果肝硬化腹水组的心率明显高于对照组(P〈0.05);平均动脉压、每搏出量、每搏指数、全身血管阻力、全身血管阻力指数、左心作功和左心作功指数显著降低(P〈0.05);心输出量和心脏指数较对照组无明显变化(P〉0.05)。结论心脏血流动力学参数可用于判断乙肝肝硬化腹水患者的心脏泵功能,为评价预后提供参考因素。

关 键 词:肝硬化  心脏  血流动力学  腹水

Changes of cardiac hemodynamics in patients with HBV-related cirrhosis and ascites
FENG Li,LI Lei,DING Hui-guo,PING Chun-xia,SONG Yan-ming,HAN Ying.Changes of cardiac hemodynamics in patients with HBV-related cirrhosis and ascites[J].Infectious Disease Information,2011,24(3):168-170.
Authors:FENG Li  LI Lei  DING Hui-guo  PING Chun-xia  SONG Yan-ming  HAN Ying
Institution:FENG Li,LI Lei *,DING Hui-guo,PING Chun-xia,SONG Yan-ming,HAN Ying Department of Gastroenterology,Beijing You'an Hospital,Capital Medical University,Beijing 100069,China
Abstract:Objective To investigate the changes of cardiac hemodynamics in patients with HBV-related liver cirrhosis and ascites and to clarify the clinical significance of hemodynamic parameters in patients with HBV-related liver cirrhosis and ascites.Methods Totally 27 patients with HBV-related liver cirrhosis and ascites(cirrhosis and ascites group) and 20 patients with chronic hepatitis B(control group) were included in the study.Noninvasive hemodynamic monitor was applied to determine hemodynamic pa-rameters.Resu...
Keywords:liver cirrhosis  heart  hemodynamics  ascites  
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