切面超声心动图对心包积液的定量诊断  

A Cross Sectional Echocardiographic Method for Estimating the Volume of Pericardial Effusions

作　　者：吴焱贤 陈作坚 周艺 李世江 全屏寿[1] 

机构地区：[1]广东顺德市第一人民医院,兰州军区总医院

出　　处：《中国超声医学杂志》1996年第3期45-46,共2页Chinese Journal of Ultrasound in Medicine

摘　　要：本文对１８例心包积液患者，采用切面超声心动图探查右心室前壁之前，左室后壁之后和心尖区三者心包脏层与壁层之间液性暗区宽度之和的均值，除８～１２小时累计的心包引流量，求得超声心动图每毫米宽度的液性暗区，相当于５２ｍｌ的心包积液量。心包积液时，以心尖区探得的液性暗区最宽，为２９．１４±１０．６６ｍｍ，故以剑突下穿刺心包易于成功和安全。The volumes of 18 patients'pericardial effusion were estimated based on the echocardio graphic cross section features of the heart.Measurements were performed on three locations,i. e. the anterior aspect of the right ventricle wall, posterior aspect of the left ventricle wall and the cardiac apex region..The dis tances in mm between the parietal pericardium and serum pericardium at the defined sites were obtained. The mean of the sum value was used to divided the value of 8-12 hours effusion drained. Calculation was proceeded by the formula:Volume of pericardial effusions (ml/mm) = accumulation drained volume/[(R+L+A)/3].It was approximately 52 ml. Apical region is the favourable site for drainage,because the fluid opacity area was 29. 14±10. 66mm, easy and safe for performance.

关 键 词：心包渗液 超声心动图 定量诊断 

分 类 号：R542.120.4[医药卫生—心血管疾病] R540.45[医药卫生—内科学]