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通过运动负荷阻抗呼吸图对慢性阻塞性肺疾病中潜在肺动脉高压进行无创诊断:与右心导管检查的对比研究

Noninvasive diagnosis of latent pulmonary hypertension in COPD by exercise-load impedance rheopneumogram: a comparative study with right heart catheterization.

作者信息

Xu Y J, Duan S F, Zhang Z X, Zen G B

机构信息

Department of Internal Medicine, Tongji Hospital, Tongji Medical University, Wuhan.

出版信息

J Tongji Med Univ. 1991;11(1):15-9. doi: 10.1007/BF02893181.

Abstract

Impedance rheopneumogram (IRP) and right heart Swan-Ganz catheter examinations were simultaneously carried out in 63 patients. Two equations for calculating after-exercise-pulmonary-pressure (PAPm) were obtained by stepwise regression analysis: 1) PAPm (kPa) = -1.40-0.88.InHs+8.30.(B-F)+5.78.Q-B/B-Y (r = 0.730, IRP is measured at rest); 2) PAPm(kPa) = 6.46-5.04.Hs/square root of R-R +4.35.Q-B/B-Y-19.34.(Q-C) (r = 0.648, IRP is measured after exercise). This is a new method for diagnosing latent pulmonary hypertension noninvasively.

摘要

对63例患者同时进行了阻抗流变肺图(IRP)和右心Swan-Ganz导管检查。通过逐步回归分析得到了两个计算运动后肺压(PAPm)的方程:1)PAPm(kPa)=-1.40-0.88.InHs+8.30.(B-F)+5.78.Q-B/B-Y(r=0.730,静息时测量IRP);2)PAPm(kPa)=6.46-5.04.Hs/√R-R+4.35.Q-B/B-Y-19.34.(Q-C)(r=0.648,运动后测量IRP)。这是一种无创诊断潜在肺动脉高压的新方法。

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