彩色多普勒超声心动图诊断肺心病的临床价值  

Clinical value of cor pulmonale diagnosed by color doppler echocardiography

作　　者：纳丽莎[1] 王波[2] 袁宁 金铃[1] 

机构地区：[1]宁夏医学院附属医院,宁夏银川750004 [2]宁夏银川市第一人民医院,宁夏银川750001 [3]固原县医院超声诊断室,宁夏固原756000

出　　处：《宁夏医学杂志》2001年第6期330-331,共2页Ningxia Medical Journal

摘　　要：目的　阐述彩色多普勒超声心动图 (CDE)诊断肺心病的临床价值。方法　通过CDE对临床上拟诊的肺心病患者进行肺动脉高压 (PH)定性、定量的诊断 ,并观测由PH继发引起心脏在CDE上的异常改变。结果　CDE测定PH 44例 (88% ) ,其肺动脉收缩压 (SPAP) >36mmHg ,6例 (12 % ) 32mmHg≤SPAP <36mmHg ,确诊CPM的临床符合率 6 6 % (5 0 /76 )。结论　作为无创性诊断技术 ,CDE估测PH或诊断CPM准确简便 ,重复性强 。Objectives To discuss the clinical value of corpulmonale(CPM) diagnosed by color doppler echocardiography(CDE). Methods To diagnose quantitatively pulmonary hypertension (PH) by CDE which manifest the features of heart structure and blood flowing dynamics for patients who are CPM suspected by clinic and to observe the abnormal manifestation of heart caused by PH on CDE. Results The diagnostic rate of PH respectively is 88%(44/50) (SPAP>36mmHg) and 12% (6/50) (32mmHg≤SPAP<36mmHg); the coincidence rate is 66%(50/76) of CPM diagnosed by CDE.Conclusions It is accurate, convenient and repeatable for CDE as a non-invasive diagnostic technique to estimate PH or diagnose CPM and is of importance in clinical treatment.

关 键 词：多普勒超声心动描记术 肺动脉高压 肺心病 诊断 

分 类 号：R541.5[医药卫生—心血管疾病] R540.45[医药卫生—内科学]