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为探讨高原心脏病(高心)诊断标准,回顾分析了按1982年高原医学学术讨论会拟定稿诊断的高心100例。其中2例为扩张型心肌病,1例为原发性肺动脉高压。余下的97例中25例存在明显阻塞性通气阻碍、低氧血症和高碳酸血症,应诊断为慢性肺原性心脏病(肺心);45例肺动脉压正常,应诊断为慢性高原反应(高反),确诊为高心者27例。为提高高心诊断的正确率,作者对高心、肺心和高反组的X线、心电图、超声心动图、血气分析、肺功能和右心导管检查结果进行了比较,并据此提出了高心诊断的参考指标。
In order to explore the diagnostic criteria of plateau heart disease (high heart), 100 cases of hypercardia diagnosed according to the 1982 plateau medical symposium were retrospectively analyzed. Two of them were dilated cardiomyopathy and one was primary pulmonary hypertension. Of the remaining 97 patients, 25 had significant obstructive ventilatory obstruction, hypoxemia and hypercapnia, and should be diagnosed as chronic pulmonary heart disease (pulmonary heart); 45 patients with normal pulmonary hypertension should be diagnosed as chronic high altitude (High anti), diagnosed as high heart in 27 cases. In order to improve the accuracy of high-center diagnosis, the authors compared the results of X-ray, electrocardiogram, echocardiography, blood gas analysis, pulmonary function and right heart catheterization test of high heart, pulmonary heart and high reverse group, and accordingly proposed High heart diagnosis of reference indicators.