| 多普勒超声心动图无创估测闭塞性肺血管病肺动脉高压 |
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| 引用本文： | 何建国,刘汉英,程克正,刘延玲,王素琴,赵彦芬,程显声.多普勒超声心动图无创估测闭塞性肺血管病肺动脉高压[J].中国循环杂志,1991(5). |
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| 作者姓名： | 何建国 刘汉英 程克正 刘延玲 王素琴 赵彦芬 程显声 |
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| 作者单位： | 中国医学科学院心血管病研究所超声诊断研究室
(何建国，刘汉英，程克正，刘延玲，王素琴)，中国医学科学院心血管病研究所肺心病研究室
(赵彦芬)，中国医学科学院心血管病研究所肺心病研究室(程显声) |
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| 摘 要： | 本研究旨在探讨多普勒超声心动图无创估测闭塞性肺血管病肺动脉高压的价值。通过对19例闭塞性肺血管病患者进行多普勒超声检查,并与48小时内进行的右心导管检查资料做对比分析。结果提示,压差法能够直接准确测定肺动脉收缩压(SPAP),但仅限于存在三尖瓣反流的患者;血流加速度时间(ACT)、血流加速度时间/右室射血时间(ACT/RVET)和右室射血前期/血流加速度时间(RPEP/ACT)能够定量估测肺动脉高压,但明显受心脏指数(CI)的影响。
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| 关 键 词： | 闭塞性肺血管病 肺动脉高压 多普勒超声 |
NONINVASIVE EVALUATION OF PULMONARY HYPERTENSION IN OBLITERATIVE PULMONARY VASCULAR DISEASE WITH DOPPLER ECHOCARDIOGRAPHY |
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| He Jianguo,Liu Hanying,Cheng Kezheng,et al..NONINVASIVE EVALUATION OF PULMONARY HYPERTENSION IN OBLITERATIVE PULMONARY VASCULAR DISEASE WITH DOPPLER ECHOCARDIOGRAPHY[J].Chinese Circulation Journal,1991(5). |
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| Authors: | He Jianguo Liu Hanying Cheng Kezheng |
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| Institution: | He Jianguo,Liu Hanying,Cheng Kezheng,et al. Cardiovascular Institute and Fu Wai Hospital,Chinese Academy of Medical Sciences,Beijing |
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| Abstract: | The purpose of this study was to explore the value of noninvssive estimstion of pulmonary hypertension in obliterativa pulmonar), vascular disease (OPYD) with Doppler echocardiography. Continued and pulsed wave Doppler echocardiography and right heart catheterization were per formed within 48 hours in 19 patients with OPVD. It is concluded that SPAP can be precisely predicted with continued wave Doppler ultrasound only in patients with tricuspid regurgitation, while pulsed wave Doppler echocardiography can be used for most patients. Doppler indexes ACT, ACT/BVET and BPEP/ACT could quantitatively estimate PAP. The influence of Cl on Doppler predictors must be taken into consideration. |
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| Keywords: | Obliterative pulmonary vascular disease Pulmonary hypertension Doppler echocardiography |
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