摘要
目的:观察肝硬化失代偿期间静脉系统和心功能的改变,心功能的变化与门静脉系统变化是否有相关性。方法:采用2.5MHz、3.5MHz两种探头分别测量30例肝硬化和32例正常人心脏及门静脉各项指标。心脏测量分别取左室长轴切面,心尖四腔心切面,主动脉短轴切面。门静脉测量选右助间斜切面.结果:肝硬化组患者门静脉内径（D）明显增宽（P<0.01）,血流量（Q）明显增多（P<0.01）。肝硬化组患者右心功能中肺动脉瓣加速时间（ACT）明显缩短（P<0.01）,三尖瓣舒张早期峰值速度（EV）明显降低（P<0.01）,三尖瓣舒张晚期峰值速度（AV）明显增加（P<0.01）;EV/AV明显降低（P<0.01）。门静脉血流量与EV、EV/AV呈负相关,与ACT、AV呈正相关。结论:肝硬化失代偿期门静脉内径增宽,血流量明显增多;心功能中右心收缩功能和舒张功能明显受累。通过测量门静脉的血流量可间接估计心功能。
Objective: To observe the changes of portal vein and cardiac function in decompensation stage of liver cirrhosis, the correlation between both. Methods: The cardiac function changes and portal vein parameter changes of 30 patients with liver crisis in decompensation stage compared with 32 health persons. Results:The diameter of portal vein widened (P<0. 01) and blood volume obviously increased in patients with liver cirrhosis (P<0. 01) .In rightcardiac function ACT shortened (P<0. 01) , the EV of tricuspid valve decreased (P<0. 01) , the AV of tricuspid valve increased (P<0. 01), EV/AV decreased markedly (P<0. 01). The correlation among blood volume of portal vein and EV. EV/AV was negative. Conclusion: In decompensation stage of liver cirrhosis, the diameter of portal vein widen and blood volume increase obviously; the right ventricular systole and diastole function are affected greatly, the wider the portal vein diameter is. the more the blood volume is. These directly affect the cardiac functions.
出处
《心血管康复医学杂志》
CAS
2002年第4期311-314,共4页
Chinese Journal of Cardiovascular Rehabilitation Medicine
