CAJ | 학술논문

目的：观察“青海标准”慢性高原病心脏彩色多普勒超声检查改变。方法回顾性分析95例慢性高原病患者心脏彩色多普勒检查结果，统计分析左、右心室心房以及主动脉、主肺动脉直径，左心室收缩和舒张指标及各瓣膜关闭不全，并将这些指标与50例健康正常人做对照。结果右心房室和主肺动脉差异均有统计学意义（ P ＜0.01）。左心房室和主动脉差异均无统计学意义（ P ＞0.05），左心室收缩舒张功能减低，差异有统计学意义（0.01＜P ＜0.05）。三尖瓣和肺动脉瓣关闭不全超过80％。结论“青海标准”慢性高原病心脏仍然以右心增大和肺动脉增宽为主，符合既往诊断慢性高原病心脏改变的规律。藏族人心脏代偿功能较好。
목적：관찰“청해표준”만성고원병심장채색다보륵초성검사개변。방법회고성분석95례만성고원병환자심장채색다보륵검사결과，통계분석좌、우심실심방이급주동맥、주폐동맥직경，좌심실수축화서장지표급각판막관폐불전，병장저사지표여50례건강정상인주대조。결과우심방실화주폐동맥차이균유통계학의의（ P ＜0.01）。좌심방실화주동맥차이균무통계학의의（ P ＞0.05），좌심실수축서장공능감저，차이유통계학의의（0.01＜P ＜0.05）。삼첨판화폐동맥판관폐불전초과80％。결론“청해표준”만성고원병심장잉연이우심증대화폐동맥증관위주，부합기왕진단만성고원병심장개변적규률。장족인심장대상공능교호。
Objective To observe through Color Doppler cordis Ultrasonographic image screening the characteristic changes on Chronic High Altitude Heart Diseases among Tibetans based on the data stand -ard set up by Qing Hai researchers .Methods Ninety-five subjects suffering from chronic high altitude diseases were checked by Color Doppler Ultrasonographic image devise .Datum were collected on the flowing rang measurement of the left ventricular ( LV) diameter, right ventricular diameter , left atrial ( LA) diame-ter, right atrial (RA), pulmonary aortic (PA) diameter.Index of the RV systolic and diastolic function were measured .The control group was fifth health subjects .Results There was transverse diameter of the RA and RV and also the diameter of the aotic and PA , showed highly significance in differences ( P <0.01).Their transverse diameter of LA, and LV, and also their Aotic diameter showed no significance in difference ( P >0.05 ) .The study group subjects LV systolic and diastolic function were declined , showed significant differences (0.01<P <0.05).Over 80%of the study group subjects showed tricuspid valve and pulmonary valve incompetence .Conclusion The Qing Hai diagnostics criteria on the chronic high alti-tude heart diseases meets the diagnostic criteria on chronic high altitude heart disease generally are accepted by researchers .The Tibetans showed better heart function compensation .