韩东刚,赵晓兰,雷晓莹.肝硬化左心功能彩色多普勒超声显像观察[J].中国医学影像技术,2002,18(3):203~204
肝硬化左心功能彩色多普勒超声显像观察
Left Ventricular Function of Liver Cirrhosis Observed by Color Doppler Echocardiac lmage
投稿时间:2001-10-26  
DOI:
中文关键词:  彩色多普勒超声显像  肝硬化  心功能
英文关键词:Color Doppler echocardlac imaging  Liver cirrhosis  Cardiac function
基金项目:
作者单位
韩东刚 西安交通大学第二医院医用超声研究室,陕西西安 710004 
赵晓兰 西安交通大学第二医院医用超声研究室,陕西西安 710004 
雷晓莹 西安交通大学第二医院医用超声研究室,陕西西安 710004 
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中文摘要:
      目的 探讨肝硬化高动力循环对心功能的影响。方法 应用彩色多普勒超声检查28例肝硬化患者和20例正常人左室收缩末内径,舒张末内径,二尖瓣口E峰、A峰峰值流速、VE/VA比值、E峰减速时间(DT)和左室等容舒张松弛时间(IVRT),评价左室收缩、泵血功能和左室舒张功能。结果 肝硬化患者左心收缩、泵血功能与正常人无显著差异(P>0.05),但左心舒张功能减低(P<0.05), 肝硬化失代偿合并腹水的患者舒张功能受累尤为严重(P<0.05)。结论 在肝硬化高动力循环状态下,心室舒张功能减低,收缩、泵血功能无明显变化。
英文摘要:
      Objective To study cardiac function in hyperdynamic circulation of liver cirrhosis.Methods A total of 28 cirrhotic patients and 20 healthy controls were studied by color Doppler echocardiography.Left ventricular systolic function and ejection function were evaluated by left ventricular end-systolic volume and left ventricular end-diastolic volume.Left ventricular diastolic function was evaluated by the peak filling velocity of E wave (VE) and A wave (VA),E/A ratio, the deceleration time of E wave (DT),the left ventricular isovolumic relaxation time (IVRT).Results Between cirrhotic patients and healthy controls,there was not significant difference in systolic function and ejection function(P>0.05).But cirrhotic patients experienced a decrease in diastolic function, and cirrhotic patients with ascites showed more serious (P<0.05) than cirrhotic patients without ascites.Conclusion In patients with liver cirrhosis,ventricular diastolic function decreased,ventricular systolic function and ejection function had not change under the hyperdynamic circulation.
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