急性心肌梗塞患者小循环心功能的观察研究

首都医科大学学报 ›› 1996, Vol. 17 ›› Issue (1): 44-48.

急性心肌梗塞患者小循环心功能的观察研究

祝萱, 顾复生, 沈潞华, 杨世豪

首都医科大学附属北京友谊医院心内科

收稿日期:1995-04-28 修回日期:1900-01-01 出版日期:1996-01-15 发布日期:1996-01-15

The Study of Pulmonary Circulatory Function in Acute Myocardial Infarction Patients

Zhu Xuan, Gu Fusheng, Shen Luhua, Yang Shihao

Cardiovascular Department, Beijing Friendship Hospital, Capital University of Medical Sciences

Received:1995-04-28 Revised:1900-01-01 Online:1996-01-15 Published:1996-01-15

摘要/Abstract

摘要： 采用右胸电导纳技术检测60例急性心肌梗塞(AMI)患者的小循环心功能。结果：左心衰竭组(KillipⅡ、Ⅲ、Ⅳ级)比心功能正常组(KillipⅠ级)Q-j(PEP)延长、j-z(RVET)缩短、Q-j/j-z(RSTI)增加、hc/hz(前负荷)增高,有显着相关关系(P<0.05).M型超声心动图测定左室射血分数(LVEF)与RSTI异常阳性率对比t=2.81,P<0.01.提示：小循环法可以早期、较灵敏、客观地反映AMI患者的心功能状况。

关键词: 急性心肌梗塞, 小循环心功能, 右胸电导纳

Abstract: The pulmonary circulatory functions were investigated in 60 patients with acute myocardial infarction(AMI)by right chest electro-admittance technique.The result showed that in left ventricular failure group(Killip Ⅱ、Ⅲ、Ⅳ grade)the Q-j (PEP) prolonged.j-z(RVET)shortened, Q-j/j-z (RSTI)and, hc/hz (preload) increased sighificantly as compared with those in normal group (P<0.01).The abnormality rate of left ventricular ejection fraction (LVEF) and RSTI detected by M-type ultrasonic cardiography are definitly higher than normal group(t=2.81, P<0.01).The study suggested that pulmonary circuiatory function technique is useful to assess the status of cardiac function of AMI patient sensitively.

Key words: acute myocardial infarction, pulmonary circulatory function, right chest electro-admittance

中图分类号:

R542.22

祝萱;顾复生;沈潞华;杨世豪. 急性心肌梗塞患者小循环心功能的观察研究[J]. 首都医科大学学报, 1996, 17(1): 44-48.

Zhu Xuan;Gu Fusheng;Shen Luhua;Yang Shihao. The Study of Pulmonary Circulatory Function in Acute Myocardial Infarction Patients[J]. Journal of Capital Medical University, 1996, 17(1): 44-48.

[1]	冯伟捷;张剑峰. 42例急性心肌梗塞患者24h动态血压的变化[J]. 首都医科大学学报, 1998, 19(4): 335-338.
[2]	华琦;师树英;秦俭;何士大. 急性心肌梗塞溶栓治疗中血浆心钠素与肾素系统的变化及意义[J]. 首都医科大学学报, 1996, 17(3): 211-214.
[3]	那开宪;蒋志加;余平. 40岁以下急性心肌梗塞患者临床分析[J]. 首都医科大学学报, 1994, 15(3): 212-214.