本文關(guān)鍵詞： 肺栓塞 CT肺動(dòng)脈造影 心臟彩超 Qanadli栓塞指數(shù)　出處：《新疆醫(yī)科大學(xué)》2012年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：探討肺栓塞(PE)患者CT肺動(dòng)脈造影(CTPA)栓塞指數(shù)和心血管參數(shù)的相關(guān)性，評價(jià)肺栓塞(PE)的嚴(yán)重程度對心臟形態(tài)的影響及心臟彩超的應(yīng)用價(jià)值。方法：收集通過CT肺動(dòng)脈造影(CTPA)確診的、無嚴(yán)重的基礎(chǔ)心肺疾病，，符合肺栓塞(PE)診斷患者252例及肺栓塞(PE)治療3個(gè)月后復(fù)查患者32例。根據(jù)肺動(dòng)脈內(nèi)栓子阻塞的程度計(jì)算Qanadli栓塞指數(shù)(PAOI)，評價(jià)栓塞程度與心血管參數(shù)相關(guān)的關(guān)系以及肺栓塞在確診及治療后3個(gè)月心血管參數(shù)的差異。結(jié)果：肺栓塞患者Qanadli栓塞指數(shù)與心臟彩超所估測的肺動(dòng)脈壓力相關(guān)性最好；主干組、葉組、段組的Qanadli栓塞指數(shù)與肺動(dòng)脈壓力的相關(guān)性逐漸減少；左側(cè)肺葉組Qanadli栓塞指數(shù)與肺動(dòng)脈壓力相關(guān)性好；≥10肺段的Qanadli栓塞指數(shù)與肺動(dòng)脈壓力沒有統(tǒng)計(jì)學(xué)意義；主干組較段組引起右心室前后徑、右心房橫徑的改變更明顯；確診肺栓塞與治療3個(gè)月后Qanadli栓塞指數(shù)有差別，心血管參數(shù)無差別。結(jié)論：肺栓塞的栓塞指數(shù)與估測的肺動(dòng)脈壓力具有相關(guān)性，臨床上可以心臟彩超來估測肺栓塞的栓塞程度。
[Abstract]:Objective: to investigate the correlation between embolization index and cardiovascular parameters in patients with pulmonary embolism (PEE) by CT pulmonary angiography (CTPA). To evaluate the effect of PEI on cardiac morphology and the application value of color Doppler echocardiography (CDFI). Methods: the patients diagnosed by CT pulmonary angiography (CTPA) were collected and there was no serious underlying cardiopulmonary disease. Qanadli embolism index was calculated according to the degree of pulmonary embolism. PAOI). To evaluate the relationship between the degree of embolism and cardiovascular parameters, and the difference of cardiovascular parameters in patients with pulmonary embolism at 3 months after diagnosis and treatment. Qanadli embolism index was best correlated with pulmonary artery pressure estimated by color Doppler echocardiography in patients with pulmonary embolism. The correlation between Qanadli embolism index and pulmonary artery pressure was gradually decreased in the trunk group, lobar group and segmental group. In the left lobe group, the Qanadli embolism index correlated well with pulmonary artery pressure. There was no significant difference between Qanadli embolism index and pulmonary artery pressure in 鈮

本文編號(hào)：1456775