超声心动图在维持性血液透析中的临床应用  

Ultrasonic heartbeat graph in maintenance hemodialysis

作　　者：付隆君 王铁萍[1] 

机构地区：[1]攀枝花市攀钢集团总医院肾脏内科,四川攀枝花617023

出　　处：《四川医学》2014年第1期71-73,共3页Sichuan Medical Journal

摘　　要：目的监测血液透析患者超声心动图(UCG)的动态变化,探讨相关危险因素。方法采用UCG对120例尿毒症患者左房内径(LAD),左室内径(LVD),室间隔厚度(IVST),左室后壁厚度(IVPWT),E/A值进行动态监测,并探讨UCG多次异常与透析间期体重增加过多、高血压、营养不良、透析不充分等因素的相关关系。结果 UCG多次异常与透析间期体重增加过多、高血压、营养不良、透析不充分等密切相关。结论尿毒症患者存在UCG的异常,动态监测UCG对指导尿毒症血液透析患者的治疗重要意义。Objective To investigate the clinical significance of ultrasound cardiogram （ UCC） tests in uremia patients and analyze its risk factors. Methods Left atrium diameter （LAD）, left ventricular diameter （LVD） ,interventricular septum thickness （IVST） ,left ventricular posterior wall thickness （IVPWT） and EI A of 120 uremia patients were measured by U CC , and correlated to clinical features, such as body weight, blood pressure, levels of albumin. Results The LAD, L VD ,IVST ,IVPWT of uremia patients were significantly higher than that of normal controls, and the EI A was significantly lower than that of normal controls （P 〈 0. 05） ; The frequent abnormal of UCC were correlated to body weight, hypertension, malnutrition and dialysis inadequacy. Conclusion Uremia patients have abnormal change of ultrasound cardiogram; Dynamic monitoring of ultrasound cardiogram tests has important significance for guiding the treatment of hemodialysis patients with uremia.

关 键 词：超声心动图 血液透析 

分 类 号：R445.1[医药卫生—影像医学与核医学]