颈静脉压再探。
The jugular venous pressure revisited.
机构信息
Cardiovascular Disease, John A. Burns School of Medicine, University of Hawaii, Honolulu.
出版信息
Cleve Clin J Med. 2013 Oct;80(10):638-44. doi: 10.3949/ccjm.80a.13039.
Abstract
Assessment of the jugular venous pressure is often inadequately performed and undervalued. Here, we review the physiologic and anatomic basis for the jugular venous pressure, including the discrepancy between right atrial and central venous pressures. We also describe the correct method of evaluating this clinical finding and review the clinical relevance of the jugular venous pressure, especially its value in assessing the severity and response to treatment of congestive heart failure. Waveforms reflective of specific conditions are also discussed.
摘要
颈静脉压的评估常常做得不够充分，也被低估了。在这里，我们回顾了颈静脉压的生理和解剖学基础，包括右心房压和中心静脉压之间的差异。我们还描述了正确评估这一临床发现的方法，并回顾了颈静脉压的临床意义，特别是其在评估充血性心力衰竭的严重程度和对治疗的反应中的价值。还讨论了反映特定情况的波形。
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