Mercado H, Castellanos A W
Angiology. 1979 Mar;30(3):182-91. doi: 10.1177/000331977903000305.
Seventy cases of congential heart disease including the most frequent types were studied, and wedge hepatic venous pressure (WHVP) was measured in each. The mean pressure was determined in the "jammed position" and in the free hepatic veins, inferior vena cava, and low right atrium. The average mean WHVP was 7.0 mm Hg, 5.0 in inferior vena cava, and 3.4 in the right atrium. A direct relationship was found between wedge hepatic venous pressure of the inferior vena cava and the low right atrium, but not other parameters. Ten patients had a mean pressure above 10 mm Hg. We believe that in many circumstances in patients with congenital heart disease, liver function may be abnormal and high values of wedge hepatic venous pressure may also be found.
对包括最常见类型在内的70例先天性心脏病患者进行了研究,并测量了每例患者的肝静脉楔压(WHVP)。在“阻塞位置”以及游离肝静脉、下腔静脉和右心房低位处测定平均压力。平均肝静脉楔压为7.0 mmHg,下腔静脉为5.0 mmHg,右心房为3.4 mmHg。发现下腔静脉和右心房低位处的肝静脉楔压之间存在直接关系,但与其他参数无关。10例患者的平均压力高于10 mmHg。我们认为,在先天性心脏病患者的许多情况下,肝功能可能异常,也可能发现肝静脉楔压升高。