四种无创检查技术预测肺动脉压的初步探讨  

The Study about PAMP Measurement with Noninvasive Technic of Four Items

作　　者：朱宝玉[1] 陈光谨[1] 杜文彬[1] 果春光 张广明[1] 杜卫京[1] 王化山[1] 王志强[1] 郭美南[1] 

机构地区：[1]天津医学院附属医院内科,300052

出　　处：《天津医药》1993年第9期518-521,共4页Tianjin Medical Journal

摘　　要：36例慢性阻塞性肺气肿(COPD)和肺心病患者,经右心导管对照评价4种无创检查方法综合推算 COPD 肺动脉压的意义。将肺动脉平均压(PAMP)实测值与4种无创方法(肺功能、血气、超声多普勒和肺血流图)各指标值输入 IBM-386微机,经相关及逐步回归处理推出4种无创法(单一种或二种、三种或四种)综合推测 PAMP 的12个方程式,经验证各式的敏感性、特异性、正确诊断率,发现多种无创检查综合推测 PAMP 的方法较单一种推估方法为优。用多种无创法综合推测 PAMP 是一个值得探讨的课题。In this paper,evaluating the significance of calculating pulmonary arterial meanpressure(PAMP)by noninvasive ways,according to control analysis measured PAMPby invasive(catheter method)and noninvasive technic of four items(lung function,blood gas,pulmonary impedance rheopneumogram and pulsed doppler echocardiogra-phy)on 36 patients of COPD and cot pulmonale.Twelve equations for calculating thePAMP with one or multi-technic(two,three or four items)were set up by multifac-for regression analysis.The noninvasive methods calculating PAMP by multi-technicwas better than one item.Further studying of these methods would be worthwhile.

关 键 词：肺功能 肺血流图 超声波 血液气体 

分 类 号：R540.4[医药卫生—心血管疾病]