摘要
目的：临床上闭塞性肺动脉高压（ＯＰＨ）的诊断比较困难。本文探讨多普勒超声心动图与单光子发射计算机断层摄影术（ＳＰＥＣＴ）结合诊断该病的可行性。方法：８例首先由多普勒超声心动图发现肺动脉高压，同时逐一除外导致肺动脉高压的其它原发心脏疾病的患者进行ＳＰＥＣＴ肺灌注显像，且临床上已除外慢性阻塞性肺疾病。结果：本组８例出现肺动脉高压的一系列超声征象，而无导致肺动脉高压的其它原发心脏疾病。ＳＰＥＣＴ肺灌注显像表现为肺叶或多个肺段的血流灌注明显降低。结论：多普勒超声心动图检查结合ＳＰＥＣＴ肺灌注显像以及其它有关临床资料可以诊断ＯＰＨ。
Objective:The clinical diagnosis of obliterative pulmonary hypertension (OPH) is difficult.This study was aimed to explore the feasibility of detecting this disease using Doppler echocardiography (DE) combined with single photon emission computerized tomography (SPECT). Method:Eight cases underwent pulmonary perfusion SPECT,who were initially found having pulmonary hypertension by DE,in whom other primary cardiac diseases which might result in pulmonary hypertension were excluded simultanously,and chronic obstructive pulmonary disease(COPD)was excluded clinically. Results:A series of ultrasonic features of pulmonary hypertension,not caused by primary cardiac diseases,were found.Significant lobar or multiple segmental reduction of pulmonary perfusion on SPECT was also presented. Conclusion:The diagnosis of OPH could be made by using DE combined with pulmonary perfusion SPECT and other clinical information.
出处
《中国循环杂志》
CSCD
1996年第11期648-650,共3页
Chinese Circulation Journal
关键词
超声心动图
闭塞性
肺动脉高压
CT
诊断
Doppler echocardiography
Obliterative pulmonary hypertension (Chinese Circulation Journal
1996
11:648.)
