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应用超声心动图估测小儿左心房压力
引用本文:王宏伟,程佩萱,高淑英. 应用超声心动图估测小儿左心房压力[J]. 华中科技大学学报(医学版), 1991, 0(1)
作者姓名:王宏伟  程佩萱  高淑英
作者单位:同济医科大学附属同济医院儿科(王宏伟,程佩萱),同济医科大学超声诊断室(高淑英)
摘    要:本义应用同步超声心动、心电、心音图估测小儿左心房压力(LAP),并与同期心导管所测LAP和(或)肺楔压(PWP)相比较,结果:Q-C/A_2-E与LAP相关最佳(r=0.95);与肺动脉压力正常或轻度增高时的PWP相关良好(r=0.82);在中、重度肺动脉高压状态下Q-C/A_2-E与PWP相关性较差(r=0.61)。表明Q-C/A_2-E可作为估测LAP及无明显肺动脉高压时PWP的一种无创性实用方法,尤其适于危重病儿监护。

关 键 词:超声心动描记术  左心房压力  肺楔压

Echocardiographic Estimate of Left Atrial Pressure in Children
Wang Hongwei,Cheng Peixuan,Gao Shuying. Echocardiographic Estimate of Left Atrial Pressure in Children[J]. Journal of Huazhong University of Science and Technology(Health Sciences), 1991, 0(1)
Authors:Wang Hongwei  Cheng Peixuan  Gao Shuying
Affiliation:Wang Hongwei,Cheng Peixuan,Gao ShuyingDepartment of Pediatrics Department of Ultrasonics,TongjiHospital,Tongji Medical University,Wuhan
Abstract:Echocardiographic estimates of left atrial pressure (LAP) using the Q-C/A2-E ratio were obtained from 40 patients and compared with directly recorded mean LAP and/or pulmonary wedge pressure (PWP). The best correlation was obtained between LAP and the Q-C/A2-E (r=0.95,P<0.01); a good one between PWP and the Q-C/A2-E in the normal and moderate pulmonary hypertension (r=0.82,P<0.01), but a poor one in the severe pulmonary hypertension (r=0.61,P>0.05). Conseqently, echocardiography provides useful noninvasive method for the estimation of the LAP and PWP, particularly applicable to children and Intensive Care Unit
Keywords:echocardiography  left atrial pressure   pulmonary wedge pressure
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