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应用平衡法核素心血池显像测定维持性血透患者的心脏功能
Detection of Cardiac Function of Patients on Maintenance Hemodialysis by Balanced Radionuclide Cardiac Blood-pool Imaging
【摘要】 应用平衡法核素心血地显像,对30例晚期尿毒症维持性血透(maintenancehemodialysis,MHD)患者进行心脏功能测定,并与正常人作对照研究。发现MHD患者即使临床上没有心功能不全的表现,各项心功能参数的平均值与正常人比较有非常显著性差异(P<0.001)。提示MDH患者存在着潜在的心功能不全。进一步分析表明,尿毒症并发高血压者以左心收缩功能受损为明显,而并发中度以上贫血(Hb<90g/L)的病人,以左心舒张功能受损为明显。
【Abstract】 Cardiac functon was measured by balanced radionu-clide cardiac blood- pel imaging in 30 cases of severe uremic Patientson maintenance hemodialysis (MHD) and 22 normal Persons. It wasfound that Cardiac function index of patients on MHD was signifi-cantly different from that of normal persons, even though there wasno sign of clinical cardiac imufficiency. Systolic function was obvi-ously affected in uremic potients with hypertemion, and abnormalityof diastolic function was found in the uremic petients with severeanemia. The results indicate that there is a latent cardiac insufficiencyin petients on MHD.
【Key words】 radionuclide cardiac blood-pool imaging; maintenance hemodialysis; cardiac function;
- 【文献出处】 中国高血压杂志 ,Chinese Journal of Hypertension , 编辑部邮箱 ,1994年03期
- 【分类号】R459.5
- 【被引频次】1
- 【下载频次】34