多普勒心动图测定慢性风湿性心瓣膜病并三尖瓣返流时的肺动脉压  

Pulmonary artery pressure of the patients with chronic rheumatic valvular disease was determined with Doppler echocardiography

作　　者：彭章平[1] 徐启彬[2] 

机构地区：[1]中国人民解放军空军杭州疗养院,310013 [2]浙江大学医学院附属第一医院,310003

出　　处：《中国疗养医学》2001年第1期60-61,共2页Chinese Journal of Convalescent Medicine

摘　　要：目的　旨在探讨肺动脉压与三尖瓣返流之间的关系。方法　慢性风湿性心瓣膜病 68例 (其中男性 1 9例 ,女性 4 9例 ) ,年龄平均 36± 1 0 .2岁 ,依是否伴有三尖瓣返流将其分为三尖瓣返流组 (n =33)和非三尖瓣返流组 (n =35) ,所有患者均接受M、二维和多普勒超声心动图检查。结果　统计分析表明 ,三尖瓣返流组的左心房内径、肺主动脉内径和右心室内径等参数均显著大于非三尖瓣返流组 ,肺动脉压虽略高于后者但差异并不显著。结论　慢性风湿性心瓣膜病患者三尖瓣返流与肺动脉压之间的关系仍有待于进一步研究。In order to evaluate the relation between pulmonary artery pressure and tricuspid regurgitation Methods 68 patients with chronic rheumatic valvular disease (19males,49 females,36±10.2 years) were divided into tricuspid regurgitation group (n=33) and non tricuspid regurgitation group(n=35) according to tricuspid regurgitation or not.All of the patients were examined with M ,2 dimensional and Doppler echocardiography. Results Statistical analysis indicates that the dimension of left atrium,main pulmonary artery and right ventricle in the patients with tricuspid regurgitation are markedly larger than the ones in the patients without tricuspid regurgitation. Conclusion The further study may be needed to evaluate the relation between pulmonary artery pressure and tricuspid regurgitation in the patient with chronic rheumatic valvular disease.

关 键 词：慢性风湿性心瓣膜病 超声波诊断 肺动脉压 肺血管总阻力 

分 类 号：R540.45[医药卫生—心血管疾病]