实用心脑肺血管病杂志
實用心腦肺血管病雜誌
실용심뇌폐혈관병잡지
PRACTICAL JOURNAL OF CARDIAC CEREBRAL PNEUMAL AND VASCULAR DISEASE
2014年
10期
16-18
,共3页
王玉芹%陈玉玲%燕宪亮%纵雪梅%王厚清%许铁
王玉芹%陳玉玲%燕憲亮%縱雪梅%王厚清%許鐵
왕옥근%진옥령%연헌량%종설매%왕후청%허철
肺栓塞%超声心动描记术%右室功能障碍%预后
肺栓塞%超聲心動描記術%右室功能障礙%預後
폐전새%초성심동묘기술%우실공능장애%예후
Pulmonary embolism%Echocardiography%Right ventricular dysfunction%Prognosis
目的:探讨超声心动图对急性肺栓塞(APE)患者预后的预测价值。方法选择我院2005年1月-2009年3月收治的行超声心动图检查的 APE 患者63例,回顾性分析其病历资料及超声心动图检查结果,根据右室功能障碍(RVD)发生情况分为 RVD 组22例与非 RVD 组41例;根据右室舒张末直径与左室舒张末直径比值(RVED/LVED)分为 RVED/ LVED≥0.65组19例与 RVED/ LVED <0.65组44例。比较各组住院期间病死率、住院期间不良事件发生率及随访3个月病死率。结果 RVD 组与非 RVD 组住院期间病死率比较,差异无统计学意义( P >0.05);RVD 组住院不良事件发生率、随访3个月病死率均高于非 RVD 组(P <0.05)。RVED/ LVED≥0.65组住院期间病死率、住院期间不良事件发生率、随访3个月病死率均高于 RVED/ LVED <0.65组( P <0.05);绘制 ROC 曲线发现, RVED/ LVED 预测 APE 患者住院期间死亡的最佳临界值为0.73,取最佳临界值时其灵敏度为71.4%,特异度为91.1%。结论存在 RVD 和/或 RVED/ LVED≥0.65(尤其是≥0.73)的 APE 患者住院期间病死率、住院期间不良事件发生率及随访3个月病死率较高,超声心动图对 APE 患者预后有较高的预测价值。
目的:探討超聲心動圖對急性肺栓塞(APE)患者預後的預測價值。方法選擇我院2005年1月-2009年3月收治的行超聲心動圖檢查的 APE 患者63例,迴顧性分析其病歷資料及超聲心動圖檢查結果,根據右室功能障礙(RVD)髮生情況分為 RVD 組22例與非 RVD 組41例;根據右室舒張末直徑與左室舒張末直徑比值(RVED/LVED)分為 RVED/ LVED≥0.65組19例與 RVED/ LVED <0.65組44例。比較各組住院期間病死率、住院期間不良事件髮生率及隨訪3箇月病死率。結果 RVD 組與非 RVD 組住院期間病死率比較,差異無統計學意義( P >0.05);RVD 組住院不良事件髮生率、隨訪3箇月病死率均高于非 RVD 組(P <0.05)。RVED/ LVED≥0.65組住院期間病死率、住院期間不良事件髮生率、隨訪3箇月病死率均高于 RVED/ LVED <0.65組( P <0.05);繪製 ROC 麯線髮現, RVED/ LVED 預測 APE 患者住院期間死亡的最佳臨界值為0.73,取最佳臨界值時其靈敏度為71.4%,特異度為91.1%。結論存在 RVD 和/或 RVED/ LVED≥0.65(尤其是≥0.73)的 APE 患者住院期間病死率、住院期間不良事件髮生率及隨訪3箇月病死率較高,超聲心動圖對 APE 患者預後有較高的預測價值。
목적:탐토초성심동도대급성폐전새(APE)환자예후적예측개치。방법선택아원2005년1월-2009년3월수치적행초성심동도검사적 APE 환자63례,회고성분석기병력자료급초성심동도검사결과,근거우실공능장애(RVD)발생정황분위 RVD 조22례여비 RVD 조41례;근거우실서장말직경여좌실서장말직경비치(RVED/LVED)분위 RVED/ LVED≥0.65조19례여 RVED/ LVED <0.65조44례。비교각조주원기간병사솔、주원기간불량사건발생솔급수방3개월병사솔。결과 RVD 조여비 RVD 조주원기간병사솔비교,차이무통계학의의( P >0.05);RVD 조주원불량사건발생솔、수방3개월병사솔균고우비 RVD 조(P <0.05)。RVED/ LVED≥0.65조주원기간병사솔、주원기간불량사건발생솔、수방3개월병사솔균고우 RVED/ LVED <0.65조( P <0.05);회제 ROC 곡선발현, RVED/ LVED 예측 APE 환자주원기간사망적최가림계치위0.73,취최가림계치시기령민도위71.4%,특이도위91.1%。결론존재 RVD 화/혹 RVED/ LVED≥0.65(우기시≥0.73)적 APE 환자주원기간병사솔、주원기간불량사건발생솔급수방3개월병사솔교고,초성심동도대 APE 환자예후유교고적예측개치。
Objective To investigate the predictive value of echocardiography on prognosis in patients with acute pul-monary embolism(APE). Methods From January 2005 to March 2009,a total of 63 patients with APE underwent echocardio-graphy in our hospital were selected,and then their medical history and examination results of echocardiography were retrospec-tively analyzed. According to the occurrence of right ventricular dysfunction(RVD),they were divided into RVD group(n =22)and non - RVD group(n = 41);according to the ratio of right ventricular end - diastolic diameter(RVED)and left ven-tricular end - diastolic diameter(LVED),they were divided into RVED/ LVED≥0. 65 group(n = 19)and RVED/ LVED <0. 65 group(n = 44). Fatality rate during hospitalization,incidence of adverse events during hospitalization and fatality rate during 3 - month fellow - up were compared in each group. Results There was no significant differences of fatality rate during hospitalization between RVD group and non - RVD group(P > 0. 05);incidence of adverse events during hospitalization and fa-tality rate during 3 - month fellow - up of RVD group were higher than those of non - RVD group(P < 0. 05). Fatality rate dur-ing hospitalization,incidence of adverse events during hospitalization and fatality rate during 3 - month fellow - up of RVED/LVED≥0. 65 group were higher than those of RVED/ LVED < 0. 65 group( P < 0. 05);ROC curve showed that,the best threshold of RVED/ LVED for predicting death during hospitalization in patients with APE was 0. 73,while the sensitivity was 71. 4% ,specificity was 91. 1% . Conclusion APE patients with RVD and(or)RVED/ LVED≥0. 65(especially ≥0. 73) have a higher fatality rate during hospitalization,higher incidence of adverse events during hospitalization and higher fatality rate during 3 - month fellow - up,echocardiography has a certain predictive value on prognosis in patients with APE.