{"id":38166,"date":"2024-07-11T05:10:22","date_gmt":"2024-07-11T05:10:22","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=38166"},"modified":"2024-07-11T05:10:22","modified_gmt":"2024-07-11T05:10:22","slug":"%e9%87%8d%e7%97%87%e8%b6%85%e5%a3%b0%e5%af%b9%e5%bf%83%e8%84%8f%e5%8a%9f%e8%83%bd%e7%9a%84%e6%b5%8b%e9%87%8f%e4%b8%8e%e8%af%84%e4%bc%b0","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=38166","title":{"rendered":"\u91cd\u75c7\u8d85\u58f0\u5bf9\u5fc3\u810f\u529f\u80fd\u7684\u6d4b\u91cf\u4e0e\u8bc4\u4f30"},"content":{"rendered":"<p>                                        \u4f5c\u8005\uff1a\u6f58\u5bbe\u6d77\uff08\u5357\u4eac\u5927\u5b66\u533b\u5b66\u9662\u9644\u5c5e\u91d1\u9675\u533b\u9662\u547c\u5438\u4e0e\u5371\u91cd\u75c7\u533b\u5b66\u79d1\uff09\u6307\u5bfc\u8001\u5e08\uff1a\u79e6\u6d69\uff08\u6d77\u519b\u519b\u533b\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\u547c\u5438\u4e0e\u5371\u91cd\u75c7\u533b\u5b66\u79d1\uff09<\/p>\n<p>\u3010\u6458\u8981\u3011&nbsp;\u8d85\u58f0\u4f5c\u4e3a\u4e00\u79cd\u68c0\u67e5\u624b\u6bb5\uff0c\u56e0\u5176\u975e\u4fb5\u5165\u6027\u3001\u5e8a\u8fb9\u53ef\u5b9e\u65f6\u83b7\u5f97\u3001\u65e0\u8f90\u5c04\u3001\u53ef\u91cd\u590d\u7b49\u7279\u70b9\uff0c\u5728ICU\u7684\u5faa\u73af\u8bc4\u4f30\u4e2d\u53d1\u6325\u8d8a\u6765\u8d8a\u91cd\u8981\u7684\u4f5c\u7528\u3002\u5fc3\u810f\u662f\u5faa\u73af\u7cfb\u7edf\u6700\u91cd\u8981\u7684\u810f\u5668\uff0c\u8840\u6d41\u52a8\u529b\u5b66\u7684\u8bc4\u4f30\u4e00\u822c\u4ece\u5fc3\u810f\u5f00\u59cb\u3002\u672c\u6587\u5c06\u4ece\u5fc3\u810f\u7684\u5f62\u6001\u3001\u529f\u80fd\u3001\u8840\u6d41\u52a8\u529b\u5b66\u521d\u6b65\u76d1\u6d4b\u7b49[\u4ec5\u6d89\u53ca\u7ecf\u80f8\u5fc3\u810f\u8d85\u58f0\uff08TTE\uff09]\u7684\u8bc4\u4f30\uff0c\u7b80\u5355\u9610\u8ff0ICU\u4e2d\u91cd\u75c7\u8d85\u58f0\u53d1\u6325\u7684\u4f5c\u7528\u3002<\/p>\n<p>1<\/p>\n<p>\u91cd\u75c7\u5fc3\u810f\u8d85\u58f0\u548c\u5fc3\u810f\u89e3\u5256\u5b66\u7684\u6d4b\u91cf\u548c\u8bc4\u4f30<\/p>\n<p>\u8d85\u58f0\u4f5c\u4e3a\u5fc3\u810f\u529f\u80fd\u68c0\u67e5\u6700\u5e38\u89c1\u7684\u65e0\u521b\u624b\u6bb5\uff0c\u53ef\u4ee5\u975e\u5e38\u6e05\u6670\u5730\u663e\u793a\u5fc3\u810f\u7684\u89e3\u5256\u548c\u529f\u80fd\u7279\u70b9\u3002\u901a\u8fc7\u8d85\u58f0\u68c0\u67e5\u53ef\u4ee5\u8bc4\u4f30\u5fc3\u810f\u5f62\u6001\u3001\u6536\u7f29\u53ca\u8212\u5f20\u529f\u80fd\u3001\u5ba4\u58c1\u8fd0\u52a8\u60c5\u51b5\uff0c\u5e2e\u52a9\u8bc6\u522b\u5fc3\u810f\u6536\u7f29\u529f\u80fd\u4e0d\u5168\u3001\u5fc3\u808c\u7f3a\u8840\u7b49\u95ee\u9898\u3002\u5728\u64cd\u4f5c\u6d41\u7a0b\u4e0a\uff0c\u5efa\u8bae\u9996\u5148\u7b5b\u67e5\u6025\u6027\u7684\u5fc3\u810f\u4e8b\u4ef6\uff0c\u5305\u62ec\u5fc3\u5305\u586b\u585e\u3001\u7f29\u7a84\u6027\u5fc3\u5305\u708e\u3001\u65b0\u53d1\u7684\u5ba4\u58c1\u8282\u6bb5\u8fd0\u52a8\u5f02\u5e38\u3001\u8171\u7d22\u65ad\u88c2\u3001\u5ba4\u58c1\u7a7f\u5b54\u3001\u6025\u6027\u5fc3\u5185\u819c\u708e\u3001\u5fc3\u8154\u6216\u5927\u8840\u7ba1\u8154\u5185\u5360\u4f4d\u6216\u8840\u6813\u7b49\u60c5\u51b5\uff0c\u7d27\u6025\u5904\u7406\u6216\u8bf7\u5fc3\u810f\u4e13\u79d1\u534f\u52a9\u7d27\u6025\u6551\u6cbb\u3002\u5176\u6b21\uff0c\u8bca\u65ad\u6709\u65e0\u5408\u5e76\u6162\u6027\u5fc3\u810f\u75be\u75c5\uff0c\u4e3a\u540e\u7eed\u6cbb\u7597\u63d0\u4f9b\u91cd\u8981\u4fe1\u606f\u3002\u5176\u76f8\u5173\u7684\u5177\u4f53\u5185\u5bb9\u53ef\u4ee5\u53c2\u80032018\u5e74\u53d1\u8868\u7684\u300a\u91cd\u75c7\u8d85\u58f0\u4e34\u5e8a\u5e94\u7528\u6280\u672f\u89c4\u8303\u300b\u4e2d\u7684\u5efa\u8bae\uff1a\u4ece\u5fc3\u5305\u4e0e\u5fc3\u8154\u7684\u6574\u4f53\u3001\u5fc3\u5ba4\u58c1\u3001\u5fc3\u810f\u74e3\u819c\u3001\u5fc3\u810f\u8840\u6d41\u7b49\u8fd0\u52a8\u548c\u5f62\u6001\u5b66\uff0c\u6309\u987a\u5e8f\u8fdb\u884c\u8bc4\u4f30\u548c\u8bca\u65ad\u30021.1&nbsp;&nbsp;\u5fc3\u810f\u5404\u8154\u5ba4\u5f62\u6001\u89c2\u5bdf\u3001\u8bc4\u4f30\u9996\u5148\uff0c\u5728\u5251\u7a81\u4e0b\u56db\u8154\u5fc3\u5207\u9762\uff08SC4C\u5207\u9762\uff09\uff0c\u89c2\u5bdf\u5fc3\u810f\u7684\u6574\u4f53\u60c5\u51b5\uff0c\u8be5\u5207\u9762\u4e3b\u8981\u4f18\u5148\u8bc4\u4f30\u6709\u65e0\u5fc3\u5305\u79ef\u6db2\u548c\u5fc3\u810f\u538b\u585e\uff0c\u7136\u540e\u6839\u636e\u76ee\u6d4b\u8bc4\u4f30\u5404\u4e2a\u5fc3\u810f\u8154\u5ba4\u7684\u76f8\u5bf9\u8fd0\u52a8\u60c5\u51b5\uff0c\u662f\u5426\u51fa\u73b0\u660e\u663e\u7684\u9650\u5236\u5fc3\u5305\u8fd0\u52a8\u969c\u788d\u7684\u8868\u73b0\u3002\u76f8\u5173\u7279\u5f81\u56fe\u5f62\u5982\u56fe1\u6240\u793a\u3002<\/p>\n<p>\u56fe1.&nbsp;\u5251\u7a81\u4e0b\u56db\u8154\u5fc3\u5207\u9762\uff08SC4C\u5207\u9762\uff09\u51fa\u73b0\u7684\u5fc3\u5305\u79ef\u6db2\u5178\u578b\u56fe\u7247<\/p>\n<p>\u6839\u636e\u5fc3\u5305\u7684\u65e0\u56de\u58f0\u533a\uff0c\u6211\u4eec\u5bf9\u5fc3\u5305\u79ef\u6db2\u7684\u91cf\u53ef\u4ee5\u8fdb\u884c\u91cf\u7684\u5206\u7ea7\uff08\u88681\uff09\u3002\u5176\u6b21\uff0c\u89c2\u5bdf\u5fc3\u8154\u7684\u5927\u5c0f\u3002\u6b64\u5904\u6839\u636e\u91cd\u75c7\u8d85\u58f0\u8bc4\u4f30\u8840\u6d41\u52a8\u529b\u5b66\u7684\u601d\u7ef4\uff0c\u5148\u4ece\u53f3\u5fc3\u8bc4\u4f30\u5f00\u59cb\u3002\u5e38\u89c4\u9996\u9009\u5fc3\u5c16\u56db\u8154\u5fc3\u5207\u9762\uff08A4C\uff09\u8fdb\u884c\u76f8\u5173\u6d4b\u91cf\uff0c\u5728\u8be5\u5207\u9762\u53ef\u4ee5\u6d4b\u91cf\u53f3\u5fc3\u5ba4\u7684\u4e0a\u4e0b\u5f84\u548c\u5de6\u53f3\u5f84\u3002\u8be5\u65b9\u6cd5\u6d4b\u91cf\u7684\u4e09\u5c16\u74e3\u74e3\u5f84\u901a\u5e38\u5c0f\u4e8e2.8 cm\uff0c\u8d85\u8fc73.9 cm\u5373\u4e3a\u91cd\u5ea6\u6269\u5f20\u3002\u4e2d\u95f4\u6bb5\u76f4\u5f84\u53c2\u8003\u503c\u5c0f\u4e8e3.5 cm\uff0c\u8d85\u8fc74.2 cm\u4e3a\u91cd\u5ea6\u6269\u5f20\u3002\u4e0a\u4e0b\u5f84\u5c0f\u4e8e7.9 cm\uff0c\u8d85\u8fc79.2 cm\u4e3a\u91cd\u5ea6\u6269\u5f20\u3002\u64cd\u4f5c\u793a\u610f\u56fe\u89c1\u56fe2\u3002<\/p>\n<p>\u56fe2. \u5fc3\u5c16\u56db\u8154\u5fc3\u5207\u9762\uff08A4C\uff09\u4e0b\u6d4b\u91cf\u53f3\u5fc3\u5ba4\u4e0a\u4e0b\u5f84\uff08\u7ebf\u6bb53\uff09\u548c\u74e3\u73af\u5f84\uff08\u7ebf\u6bb51\uff09\u548c\u4e2d\u95f4\u6bb5\u5185\u5f84\uff08\u7ebf\u6bb52\uff09\u7684\u793a\u610f\u56fe<\/p>\n<p>\u5728\u80f8\u9aa8\u65c1\u957f\u8f74\uff08PLAX\uff09\u5207\u9762\uff0c\u6211\u4eec\u53ef\u4ee5\u6d4b\u91cf\u5de6\u5fc3\u5ba4\u3001\u53f3\u5fc3\u5ba4\u8212\u5f20\u672b\u524d\u540e\u5185\u5f84\u548c\u4e3b\u52a8\u8109\u6839\u90e8\u7684\u5185\u5f84\u53ca\u5de6\u5fc3\u623f\u5185\u5f84\u3002\u5de6\u5fc3\u5ba4\u7b49\u5bb9\u8212\u5f20\u671f\u8fdb\u884c\u6d4b\u91cf\uff0c\u7537\u6027\u5de6\u5fc3\u5ba4\u5fc3\u8154\u5927\u5c0f\u4e3a4.2~5.9 cm\uff0c\u5973\u6027\u4e3a3.9~5.3 cm\u3002\u64cd\u4f5c\u793a\u610f\u56fe\u89c1\u56fe3\u3002<\/p>\n<p>\u56fe3.&nbsp;PLAX\u4e0b\u6d4b\u91cf\u5de6\u5fc3\u5ba4\u8212\u5f20\u672b\u524d\u540e\u5f84\uff08\u9ec4\u8272\uff09\u3001\u53f3\u5fc3\u5ba4\u8212\u5f20\u672b\u524d\u540e\u5f84\uff08\u7eff\u8272\uff09\u3001\u5de6\u5fc3\u623f\u5185\u5f84\uff08\u7ea2\u8272\uff09\u3001\u4e3b\u52a8\u8109\u6839\u90e8\u5185\u5f84\uff08\u84dd\u8272\uff09\u7684\u793a\u610f\u56fe\u5728\u53f3\u5ba4\u6d41\u51fa\u9053\u5207\u9762\uff08subcostal short-axis RVOT\uff09\u5207\u9762\uff0c\u6211\u4eec\u53ef\u4ee5\u6d4b\u91cf\u53f3\u5ba4\u6d41\u51fa\u9053\uff08RVOT\uff09\u7684\u5185\u5f84\u548c\u80ba\u52a8\u8109\uff08PA\uff09\u5185\u5f84\u3002\u64cd\u4f5c\u793a\u610f\u56fe\u89c1\u56fe4\u3002<\/p>\n<p>\u56fe4.&nbsp;Subcostal short-axis RVOT\u5207\u9762\u4e0b\u6d4b\u91cf\u53f3\u5ba4\u6d41\u51fa\u9053\uff08RVOT\uff09\u7684\u5185\u5f84\uff08\u7eff\u8272\uff09\u548c\u80ba\u52a8\u8109\uff08PA\uff09\u5185\u5f84\uff08\u84dd\u8272\uff09\u7684\u793a\u610f\u56fe<\/p>\n<p>\u5728\u4e34\u5e8a\u4e0a\uff0c\u6211\u4eec\u9664\u4e86\u6d4b\u91cf\u5fc3\u810f\u8154\u5ba4\u7684\u5927\u5c0f\u6570\u503c\u5916\uff0c\u5bf9\u5fc3\u8154\u7684\u5f62\u6001\u3001\u5fc3\u5ba4\u58c1\u7684\u539a\u5ea6\u3001\u5fc3\u8154\u9762\u79ef\u3001\u5fc3\u8154\u5bb9\u79ef\u4e5f\u53ef\u4ee5\u8fdb\u884c\u626b\u67e5\u548c\u6d4b\u91cf\u3002\u53f3\u5fc3\u5ba4\u7684\u6b63\u5e38\u884c\u6001\u5728\u5fc3\u5c16\u56db\u8154\u5fc3\u5207\u9762\u4e3a\u4e09\u89d2\u5f62\uff0c\u80f8\u9aa8\u65c1\u77ed\u8f74\u5207\u9762\u4e3a\u65b0\u6708\u5f62\uff0c\u5ba4\u95f4\u9694\u5b8c\u5168\u51f8\u5411\u53f3\u5fc3\u5ba4\u3002\u5177\u4f53\u5f62\u6001\u89c1\u56fe5\u3001\u56fe6\u3002<\/p>\n<p>\u56fe5. A4C\u5207\u9762\u53f3\u5fc3\u5ba4\uff08RV\uff09\u5f62\u6001\u793a\u610f\u56fe<\/p>\n<p>\u56fe6. PSAX\uff08level of papillary muscles\uff09\u5207\u9762\u53f3\u5fc3\u5ba4\uff08RV\uff09\u5f62\u6001\u793a\u610f\u56fe\u53f3\u5fc3\u623f\u4e00\u822c\u901a\u8fc7\u5fc3\u5c16\u56db\u8154\u5fc3\u5207\u9762\u6765\u89c2\u5bdf\u5f62\u6001\u5b66\u5927\u5c0f\uff08\u56fe7\uff09\uff0c\u5176\u5de6\u53f3\u5185\u5f84\u7684\u53c2\u8003\u503c\u4e3a2.5~4.5&nbsp;cm\uff0c\u4e0a\u4e0b\u5185\u5f84\u7684\u53c2\u8003\u503c\u4e00\u822c\u5c0f\u4e8e5.2 cm\u3002<\/p>\n<p>\u56fe7. \u53f3\u5fc3\u623f\uff08RA\uff09\u5728A4C\u4e0b\uff08\u84dd\u8272\u7ebf\u6bb5\u5de6\u53f3\u5f84\uff0c\u7eff\u8272\u7ebf\u6bb5\u4e0a\u4e0b\u5f84\uff09\u5185\u5f84\u6d4b\u91cf\u793a\u610f\u56fe\u5de6\u5fc3\u5ba4\uff08LV\uff09\u7684\u6b63\u5e38\u5f62\u6001\u5728\u5fc3\u5c16\u56db\u8154\u5fc3\u5207\u9762\u548c\u80f8\u9aa8\u65c1\u957f\u8f74\u5207\u9762\u7684\u5f62\u6001\u5982\u56fe8\u6240\u793a\u3002<\/p>\n<p>\u56fe8.&nbsp;\u5de6\u5fc3\u5ba4\uff08LV\uff09\u5728A4C\u4e0b\u548cPLAX\u4e0b\u5f62\u6001\u793a\u610f\u56fe\u6211\u4eec\u4e00\u822c\u9009\u62e9\u5728\u80f8\u9aa8\u65c1\u957f\u8f74\u5207\u9762\u6216\u8005\u5fc3\u5c16\u56db\u8154\u5fc3\u5207\u9762\u6765\u89c2\u5bdf\u5de6\u5fc3\u623f\u7684\u8fd0\u52a8\u72b6\u6001\u548c\u5f62\u6001\u5b66\u3002\u5728\u5fc3\u5c16\u56db\u8154\u5fc3\u5207\u9762\u4e0b\u6216\u80f8\u9aa8\u65c1\u957f\u8f74\u5207\u9762\u6d4b\u91cf\u5de6\u5fc3\u623f\u6a2a\u5f84\u5e73\u5747\u503c\u4e3a2.7~4.0 cm\uff0c\u5de6\u5fc3\u623f\u7684\u524d\u540e\u5f84\u5e73\u5747\u503c\u4e3a3.8~5.8 cm\u3002\u4e3a\u56fe9\u533a\u6bb5\u7684\u6f14\u793a\u3002<\/p>\n<p>\u56fe9.&nbsp;\u5de6\u5fc3\u623f\uff08LA\uff09\u5728A4C\u4e0b\uff08\u6a2a\u5f84\u548c\u524d\u540e\u5f84\uff09\u548cPLAX\u4e0b\uff08\u524d\u540e\u5f84\uff09\u6d4b\u91cf\u793a\u610f\u56fe\u5ba4\u95f4\u9694\u7684\u539a\u5ea6\u6d4b\u91cf\u4e00\u822c\u9009\u62e9\u80f8\u9aa8\u65c1\u957f\u8f74\u5207\u9762\u8fdb\u884c\uff0c\u9009\u62e9\u7b49\u5bb9\u8212\u5f20\u671f\u7684\u6570\u503c\u4e3a\u53c2\u8003\u503c\uff0c\u53ef\u4ee5\u4f7f\u7528M\u578b\u8d85\u58f0\u8fdb\u884c\u6d4b\u91cf\u4ee5\u83b7\u5f97\u66f4\u9ad8\u7684\u7cbe\u5ea6\u3002\u4e3a\u56fe10\u6240\u793a1\u533a\u6bb5\u7684\u6570\u503c\uff0c\u5176\u53c2\u8003\u503c\u4e3a0.6~1.0 cm\u3002<\/p>\n<p>\u56fe10.&nbsp;\u5ba4\u95f4\u9694\u539a\u5ea6\u6d4b\u91cf\u793a\u610f\u56fe<\/p>\n<p>\u53f3\u5ba4\u58c1\u539a\u5ea6\u9009\u5fc3\u5c16\u56db\u8154\u5fc3\u6216\u8005\u80f8\u9aa8\u65c1\u957f\u8f74\u5207\u9762\u4e0b\u6d4b\u91cf\uff08\u56fe11\uff09\uff0c\u901a\u5e38\u539a\u5ea6\u5c0f\u4e8e0.5&nbsp;cm\u3002<\/p>\n<p>\u56fe11.&nbsp;\u53f3\u5ba4\u58c1\u539a\u5ea6\u6d4b\u91cf\u793a\u610f\u56fe<\/p>\n<p>\u5de6\u5ba4\u540e\u58c1\u539a\u5ea6\u6211\u4eec\u5e38\u89c4\u9009\u62e9\u80f8\u9aa8\u65c1\u957f\u8f74\u5207\u9762\u4e0b\u6d4b\u91cf\uff0c\u4e3a\u56fe12\u6240\u793a3\u7684\u6570\u503c\u3002\u901a\u5e38\u4e3a0.6~1.1 cm\u3002<\/p>\n<p>\u56fe12.&nbsp;\u5de6\u5ba4\u58c1\u539a\u5ea6\u6d4b\u91cf\u793a\u610f\u56fe\u9664\u5f00\u4e0a\u8ff0\u76f4\u63a5\u89c2\u5bdf\u3001\u6d4b\u91cf\u60a3\u8005\u7684\u5fc3\u810f\u8154\u5ba4\u548c\u58c1\u7684\u539a\u5ea6\u4e4b\u5916\uff0c\u6211\u4eec\u5bf9\u5fc3\u810f\u74e3\u819c\u7684\u7ed3\u6784\u548c\u8fd0\u52a8\u60c5\u51b5\u4e5f\u9700\u8981\u5f15\u8d77\u91cd\u89c6\u30021.2&nbsp;&nbsp;\u5fc3\u810f\u5404\u74e3\u819c\u5f62\u6001\u89c2\u5bdf\u3001\u8bc4\u4f30\u6211\u4eec\u5728\u8d85\u58f0\u4e0b\u53ef\u4ee5\u89c2\u5bdf\u5230\u7684\u4e3b\u8981\u5fc3\u810f\u74e3\u819c\u5305\u62ec\u4e8c\u5c16\u74e3\u3001\u4e09\u5c16\u74e3\u3001\u4e3b\u52a8\u8109\u74e3\u3001\u80ba\u52a8\u8109\u74e3\uff0c\u5408\u9002\u7684\u8d85\u58f0\u89c2\u5bdf\u4f4d\u7f6e\u548c\u5f62\u6001\u5982\u88682\u63a8\u8350\u3002<\/p>\n<p>\u88682&nbsp; \u5fc3\u810f\u74e3\u819c\u5408\u9002\u7684\u8d85\u58f0\u89c2\u5bdf\u4f4d\u7f6e\u548c\u5f62\u6001<\/p>\n<\/p>\n<p>\u4ee5\u4e0a\u5185\u5bb9\u4e3a\u8d85\u58f0\u89e3\u5256\u5b66\u89d2\u5ea6\u770b\u5fc3\u810f\u8154\u5ba4\u3001\u5ba4\u58c1\u3001\u74e3\u819c\u53ca\u5176\u8d85\u58f0\u68c0\u67e5\u624b\u6cd5\u4e0e\u68c0\u67e5\u4f4d\u7f6e\u63a8\u8350\u3002<\/p>\n<p>2<\/p>\n<p>\u91cd\u75c7\u5fc3\u810f\u8d85\u58f0\u548c\u5fc3\u810f\u529f\u80fd\u76f8\u5173\u8bc4\u4f30\u6307\u6807\u4e0e\u6d4b\u91cf<\/p>\n<p>\u89e3\u5256\u7ed3\u6784\u6b63\u5e38\u662f\u810f\u5668\u6b63\u5e38\u5de5\u4f5c\u7684\u57fa\u7840\uff0c\u5728\u89e3\u5256\u65e0\u660e\u663e\u5f02\u5e38\u7684\u60c5\u51b5\u4e0b\uff0c\u518d\u5bf9\u5176\u529f\u80fd\u8fdb\u884c\u63a2\u8ba8\u3002\u5fc3\u810f\u7684\u4e3b\u8981\u529f\u80fd\u4e3a\u6cf5\u8840\uff0c\u7ef4\u6301\u5168\u8eab\u7684\u5faa\u73af\u704c\u6ce8\u3002\u63a5\u4e0b\u6765\u6211\u4eec\u5c06\u4ece\u5fc3\u810f\u56db\u4e2a\u8154\u5ba4\u7684\u6536\u7f29\u548c\u8212\u5f20\u529f\u80fd\u8bc4\u4f30\uff0c\u6765\u8ba8\u8bba\u5fc3\u810f\u6574\u4f53\u529f\u80fd\u60c5\u51b5\u30022.1&nbsp;&nbsp;\u53f3\u5fc3\u6536\u7f29\u529f\u80fd\u548c\u8212\u5f20\u529f\u80fd\u7684\u8bc4\u4f30\u6211\u4eec\u5728\u76ee\u6d4b\u60c5\u51b5\u4e0b\uff0c\u4ee5\u60a3\u8005\u53f3\u5fc3\u7684\u5927\u5c0f\u548c\u6e38\u79bb\u58c1\u3001\u4e09\u5c16\u74e3\u6d3b\u52a8\u60c5\u51b5\u4f5c\u4e3a\u53f3\u5fc3\u529f\u80fd\u8bc4\u4f30\u7684\u8d77\u70b9\u3002\u5982\u679c\u53d1\u73b0\u76ee\u6d4b\u7ed3\u679c\u660e\u663e\u5f02\u5e38\uff0c\u6b64\u65f6\u7cbe\u51c6\u7684\u6d4b\u91cf\u6709\u52a9\u4e8e\u66f4\u597d\u5730\u8bc4\u4ef7\u3002\u4e00\u822c\u91c7\u7528\u4ee5\u4e0b\u6307\u6807\u8bc4\u4f30\u53f3\u5fc3\u529f\u80fd\uff1a\uff081\uff09\u4e09\u5c16\u74e3\u74e3\u73af\u6536\u7f29\u671f\u8fd0\u52a8\uff08TAPSE\uff09\uff1a\u5728\u5fc3\u5c16\u56db\u8154\u5fc3\u5207\u9762\uff0c\u91c7\u7528M\u578b\u8d85\u58f0\u5fc3\u52a8\u56fe\uff0c\u53d6\u6837\u70b9\u7f6e\u4e8e\u4e09\u5c16\u74e3\u74e3\u73af\u4fa7\u58c1\uff0c\u6d4b\u91cf\u4e09\u5c16\u74e3\u74e3\u73af\u4fa7\u58c1\u8fd0\u52a8\u66f2\u7ebf\u7684\u4e0a\u4e0b\u4e24\u70b9\u7684\u8ddd\u79bb\uff08\u56fe13\uff09\u3002\u6b63\u5e38\u60c5\u51b5\u4e0b\uff0cTAPES\u7684\u503c\u5e94\u8be5\u5927\u4e8e2.0&nbsp;cm\uff0c\u82e5\u8be5\u503c\u5c0f\u4e8e1.5&nbsp;cm\uff0c\u5219\u8868\u660e\u53f3\u5fc3\u6536\u7f29\u80fd\u529b\u7684\u660e\u663e\u964d\u4f4e\u548c\u8f83\u9ad8\u7684\u6b7b\u4ea1\u7387\u3002<\/p>\n<p>\u56fe13.&nbsp;TAPES\u7684\u6d4b\u91cf\u793a\u610f\u56fe\uff082\uff09\u53f3\u5ba4\u9762\u79ef\u53d8\u5316\u7387\uff08RV-FAC\uff09\uff08\u56fe14\uff09\u548c\u53f3\u5ba4\u6d41\u51fa\u9053\u7f29\u77ed\u7387\uff08RVOT-SF\uff09\uff08\u56fe15\uff09\uff1a\u5728\u5fc3\u5c16\u56db\u8154\u5fc3\u5207\u9762\uff0c\u5206\u522b\u6d4b\u91cf\u53f3\u5ba4\u6536\u7f29\u672b\u671f\u9762\u79ef\uff08RV-ESA\uff09\u548c\u8212\u5f20\u672b\u671f\u7684\u9762\u79ef\uff08RV-EDA\uff09\uff0c\u5dee\u503c\u9664\u4ee5RV-EDA\uff0c\u53ef\u4ee5\u5f97\u5230\u53f3\u5ba4\u9762\u79ef\u53d8\u5316\u7387\uff08RV-FAC\uff09\uff0c\u5176\u53c2\u8003\u503c\u4e3a43%~69%\u3002\u82e5\u4f4e\u4e8e43%\uff0c\u5219\u4ee3\u8868\u53f3\u5fc3\u5ba4\u6536\u7f29\u529f\u80fd\u7684\u964d\u4f4e\u3002RV-FAC=\uff08RVEDA-RVESA\uff09\/RVEDA\u00d7100%<\/p>\n<p>\u56fe14.&nbsp;\u53f3\u5fc3\u5ba4\u9762\u79ef\u63cf\u8bb0\u6cd5\u6d4b\u91cf\u793a\u610f\u56fe\u540c\u6837\uff0c\u5728\u80f8\u9aa8\u65c1\u77ed\u8f74\u5fc3\u5e95\u5207\u9762\uff0c\u7528M\u8d85\u6d4b\u91cf\u6536\u7f29\u671f\u548c\u8212\u5f20\u671f\u53f3\u5ba4\u6d41\u51fa\u9053\u7684\u5185\u5f84\uff0c\u53ef\u4ee5\u5f97\u51fa\u53f3\u5ba4\u6d41\u51fa\u9053\u7f29\u77ed\u7387\uff0c\u4e24\u4e2a\u5185\u5f84\u7684\u5dee\u503c\u9664\u4ee5\u8212\u5f20\u5185\u5f84\u5373\u4e3a\u53f3\u5ba4\u6d41\u51fa\u9053\u7f29\u77ed\u7387\uff08RVOT-SF\uff09\u3002\u53f3\u5ba4\u6d41\u51fa\u9053\u7f29\u77ed\u7387\u7684\u53c2\u8003\u503c\u4e3a48%~74%\uff0c\u82e5\u4f4e\u4e8e43%\uff0c\u4e5f\u5219\u4ee3\u8868\u53f3\u5fc3\u5ba4\u6536\u7f29\u529f\u80fd\u7684\u964d\u4f4e\u3002\u53f3\u5ba4\u6d41\u51fa\u9053\u7f29\u77ed\u7387\uff08RVOT-SF\uff09=[\u8212\u5f20\u671f\u53f3\u5ba4\u6d41\u51fa\u9053\u5185\u5f84\uff08EDRVOTD\uff09-\u6536\u7f29\u671f\u53f3\u5ba4\u6d41\u51fa\u9053\u5185\u5f84\uff08ESRVOTD\uff09]\/\u8212\u5f20\u671f\u53f3\u5ba4\u6d41\u51fa\u9053\u5185\u5f84\uff08EDRVOTD\uff09\u00d7100%\u3002<\/p>\n<p>\u56fe15.&nbsp;\u53f3\u5ba4\u6d41\u51fa\u9053\u7f29\u77ed\u7387\u6d4b\u91cf\uff083\uff09\u7ec4\u7ec7\u591a\u666e\u52d2\uff08TDI\uff09\u548cTDI\u6d4b\u91cf\u7684\u4e09\u5c16\u74e3\u73af\u8fd0\u52a8\uff1a\u6211\u4eec\u4e00\u822c\u9009\u62e9\u8109\u51b2\u6ce2\u7ec4\u7ec7\u591a\u666e\u52d2\uff08TDI\uff09\u5728\u53f3\u5ba4\u57fa\u5e95\u6bb5\u6e38\u79bb\u58c1\u6765\u6d4b\u91cf\u3002\u5176\u53c2\u8003\u56fe\u50cf\u5982\u56fe16\u6240\u793a\u3002<\/p>\n<p>\u56fe16.&nbsp;RV-TDI\u7684\u6d4b\u91cf\u5178\u578b\u7684TDI\u5305\u62ec\u4e09\u4e2a\u6ce2\uff1a\u9876\u70b9\u5411\u4e0a\u7684\u6536\u7f29\u6ce2\uff08Sm\uff09\uff08S\u2019\uff09\uff0c\u8fdc\u79bb\u9876\u70b9\u7684\u65e9\u671f\u8212\u5f20\u6ce2\uff08Em\uff09\uff08E\u2019\uff09\u548c\u665a\u671f\u8212\u5f20\u6ce2\uff08Am\uff09\uff08A\u2019\uff09\uff0c\u6536\u7f29\u6ce2Sm\u524d\u7684\u7b49\u5bb9\u6536\u7f29IVC\u3002Sm\uff08S\u2019\uff09\u7684\u53c2\u8003\u503c\u5e38\u89c4\u5927\u4e8e11 cm\/s\uff0c\u82e5\u5c0f\u4e8e10 cm\/s\uff0c\u5219\u4ee3\u8868\u6536\u7f29\u529f\u80fd\u7684\u660e\u663e\u4e0b\u964d\u3002Sm\u548cEm\u4e4b\u95f4\u6709\u7b49\u5bb9\u8212\u5f20\u671f\uff0cAm\u548cSm\u4e4b\u95f4\u6709\u7b49\u5bb9\u6536\u7f29\u671f\u3002\uff084\uff09\u53f3\u5fc3\u5ba4Tei\u6307\u6570\uff08RV MPI\uff09\uff1a\u5373\u4e3a\u591a\u666e\u52d2\u5fc3\u808c\u5de5\u4f5c\u6307\u6570\uff0c\u9009\u62e9\u8109\u51b2\u591a\u666e\u52d2\u6280\u672f\uff08PW\uff09\uff0c\u5728\u53f3\u5ba4\u6d41\u5165\u9053\u548c\u6d41\u51fa\u9053\u53d6\u6837\uff0c\u5e76\u8fde\u63a5\u5fc3\u7535\u56fe\u4ee5\u83b7\u5f97\u76f8\u5e94\u7684\u6570\u636e\u3002\u6216\u6839\u636e\u4e09\u5c16\u74e3\u73af\u7ec4\u7ec7\u591a\u666e\u52d2\uff08TDI\uff09\u6d4b\u5b9a\u4e09\u5c16\u74e3\u5173\u95ed-\u5f00\u653e\u65f6\u95f4\uff08TCO\uff09\uff0cTCO\uff1d\u7b49\u5bb9\u6536\u7f29\u671f\uff08IVCT\uff09\uff0b\u5c04\u8840\u65f6\u95f4\uff08ET\uff09\uff0b\u7b49\u5bb9\u8212\u5f20\u671f\uff08IVRT\uff09\u3002RV MPI=[\u7b49\u5bb9\u6536\u7f29\u65f6\u95f4\uff08IVCT\uff09 \u7b49\u5bb9\u8212\u5f20\u65f6\u95f4\uff08IVRT\uff09]\/\u5c04\u8840\u65f6\u95f4\uff08ET\uff09\uff0c\u4f46\u5b9e\u8df5\u4e2d\u5e38\u89c4\u89c4\u5b9aRV MPI=[\u4e09\u5c16\u74e3\u53cd\u6d41\u65f6\u95f4\uff08TCO\uff09-\u53f3\u5ba4\u6d41\u51fa\u9053\u5c04\u8840\u65f6\u95f4\uff08ET\uff09]\/\u53f3\u5ba4\u6d41\u51fa\u9053\u5c04\u8840\u65f6\u95f4\uff08ET\uff09\u3002RV MPI\u7684PW\u6d4b\u91cf\u5927\u4e8e0.4\u6216TDI\u6d4b\u91cf\u5927\u4e8e0.55\u4e00\u822c\u8ba4\u4e3a\u53f3\u5fc3\u5fc3\u808c\u529f\u80fd\u7684\u6076\u5316\u3002<\/p>\n<\/p>\n<p>\u56fe17.&nbsp;RV MIP\u7684\u6d4b\u91cf<\/p>\n<p>\u6ce8\uff1a\u4e0a\u56fe\u4e3aPW\u6d4b\u91cf\uff0cRV MIP=\uff08TCO-ET\uff09\/ET\uff0c\u4e0b\u56fe\u4e3aTDI\u6d4b\u91cf\uff0c\uff08IVRT IVCT\uff09\/ET\uff085\uff09\u53f3\u5fc3\u5ba4dp\/dt\uff08\u7b49\u5bb9\u6536\u7f29\u671f\u53f3\u5fc3\u5ba4\u538b\u529b\u53d8\u5316\u901f\u7387\uff09\uff08\u56fe18\uff09\uff1a\u5728\u4e09\u5c16\u74e3\u53cd\u6d41\u7684\u8fde\u7eed\u591a\u666e\u52d2\uff08CW\uff09\u4fe1\u53f7\u4e2d\uff0c\u5c06\u5361\u5c3a\u5b9a\u57281&nbsp;m\/s\u548c2 m\/s\u4e4b\u95f4\u6765\u786e\u5b9a\u4e09\u5c16\u74e3\u53cd\u6d41\u7684\u538b\u529b\uff0c\u518d\u6839\u636e\u7b80\u5316\u7684\u4f2f\u52aa\u5229\u65b9\u7a0b\u6765\u786e\u5b9adp\/dt=12 mmHg\/[TR\u65f6\u95f41\uff08m\/s\uff09-TR\u65f6\u95f42\uff08m\/s\uff09]\u3002\u6b63\u5e38\u53c2\u8003\u503c\u4e3a237.5~272.5 mmHg\/s\uff0c\u968f\u7740\u53f3\u5fc3\u529f\u80fd\u7684\u964d\u4f4e\uff0c\u8be5\u503c\u4e5f\u5c06\u660e\u663e\u589e\u52a0\u3002\u4e00\u822c\u5927\u4e8e400 mmHg\/s\u8ba4\u4e3a\u6709\u91cd\u8981\u7684\u4e34\u5e8a\u610f\u4e49\u3002<\/p>\n<p>\u56fe18.&nbsp;\u53f3\u5fc3\u5ba4dp\/dt\u6d4b\u91cf\uff086\uff09\u4e09\u5c16\u74e3\u74e3\u53e3\u8212\u5f20\u671f\u8840\u6d41\u9891\u8c31\uff08\u56fe19\uff09\uff1a\u91c7\u7528\u8109\u51b2\u591a\u666e\u52d2\u6a21\u5f0f\uff08PW\uff09\uff0c\u53d6\u6837\u70b9\u5728\u4e09\u5c16\u74e3\u74e3\u53e3\u4e0b1&nbsp;cm\uff0c\u5728\u5fc3\u5c16\u56db\u8154\u5fc3\u5207\u9762\u4e0a\u8fdb\u884c\u6d4b\u91cf\uff0c\u83b7\u5f97\u4e09\u5c16\u74e3\u53e3\u8212\u5f20\u65e9\u671f\u5cf0\u503c\u901f\u5ea6E\uff0c\u4e09\u5c16\u74e3\u53e3\u5fc3\u623f\u6536\u7f29\u671f\uff08\u5fc3\u5ba4\u8212\u5f20\u665a\u671f\uff09\u5cf0\u503c\u901f\u5ea6A\uff0cE\/A\uff0cE\u5cf0\u51cf\u901f\u65f6\u95f4\uff08EDT\uff09\u7b49\u3002\u53c2\u8003\u503c\u4e3aE\u5cf0\uff1a57\u00b18 cm\/s\uff1bA\u5cf0\uff1a39\u00b16cm\/s\uff1bE\/A\uff1a&gt;1\uff1bEDT\uff1a225\u00b128 ms\u3002<\/p>\n<p>\u56fe19.&nbsp;\u4e09\u5c16\u74e3\u74e3\u53e3\u8212\u5f20\u671f\u8840\u6d41\u9891\u8c31<\/p>\n<p>\u4e00\u822c\u6765\u8bf4\uff0c\u4e09\u5c16\u74e3\u74e3\u53e3\u8212\u5f20\u671f\u8840\u6d41\u9891\u8c31E\/A\uff1c0.8\u63d0\u793a\u4e3a\u677e\u5f1b\u53d7\u635f\uff1b0.8\uff1cE\/A\uff1c2.1\uff0c\u4f34E\/E\u2032\uff1e6\u63d0\u793aE\/A\u4e3a\u5047\u6027\u6b63\u5e38\uff0c\u53f3\u5fc3\u5ba4\u8212\u5f20\u529f\u80fd\u4e2d\u5ea6\u53d7\u635f\uff1bE\/A\uff1e2.1\u4f34EDT\uff1c120 ms\uff0c\u53f3\u5fc3\u5ba4\u5145\u76c8\u53d7\u9650\u3002\u7ed3\u5408\u524d\u9762\u7684\u4e09\u5c16\u74e3\u74e3\u73af\u4fa7\u58c1\u7ec4\u7ec7\u591a\u666e\u52d2\uff08TDI\uff09\uff0cEm\/Am\uff1c1\u4e3a\u53f3\u5fc3\u5ba4\u8212\u5f20\u529f\u80fd\u53d7\u635f\uff1bE\/Em\uff1e6\u63d0\u793a\u53f3\u5fc3\u623f\u538b\u5347\u9ad8\u3002\u6839\u636e\u4e09\u5c16\u74e3\u74e3\u53e3\u8840\u6d41\u9891\u8c31\u56fe\uff0c\u6211\u4eec\u4e5f\u53ef\u4ee5\u83b7\u5f97\u6709\u65e0\u524d\u5411\u8840\u6d41\u52a0\u901f\u7684\u76f8\u5173\u4fe1\u606f\u3002\u4ee5\u4e0a\u4e3a\u5e38\u7528\u7684\u53f3\u5fc3\u6536\u7f29\u529f\u80fd\u548c\u8212\u5f20\u529f\u80fd\u7684\u8bc4\u4f30\uff0c\u5728\u7ed3\u5408\u57fa\u7840\u7684\u53f3\u5fc3\u623f\u548c\u53f3\u5fc3\u5ba4\u5f62\u6001\u5b66\u8bc4\u4f30\u4e0b\uff0c\u6211\u4eec\u53ef\u4ee5\u83b7\u5f97\u66f4\u5168\u9762\u7684\u53f3\u5fc3\u529f\u80fd\u8bc4\u4f30\u30022018\u5e74\u53d1\u8868\u7684\u300a\u91cd\u75c7\u8d85\u58f0\u4e34\u5e8a\u5e94\u7528\u6280\u672f\u89c4\u8303\u300b\u5bf9\u76f8\u5173\u5185\u5bb9\u8fdb\u884c\u4e86\u5f52\u7eb3\u548c\u603b\u7ed3\uff0c\u73b0\u6458\u5f55\u5982\u4e0b\uff08\u56fe20\uff09\uff0c\u4f9b\u53c2\u8003\u3002<\/p>\n<p>\u56fe20.&nbsp;\u53f3\u5fc3\u529f\u80fd\u8d85\u58f0\u8bc4\u4f30\u6d41\u7a0b\u56fe2.2&nbsp;&nbsp;\u5de6\u5fc3\u6536\u7f29\u529f\u80fd\u548c\u8212\u5f20\u529f\u80fd\u7684\u8bc4\u4f30\u76f8\u5bf9\u4e8e\u53f3\u5fc3\u800c\u8a00\uff0c\u5de6\u5fc3\u7684\u884c\u6001\u5728\u8d85\u58f0\u4e0b\u8868\u73b0\u7684\u66f4\u52a0\u89c4\u6574\uff0c\u4e5f\u662f\u7528\u8d85\u58f0\u8fdb\u884c\u8bc4\u4f30\u6700\u5408\u9002\u7684\u90e8\u5206\u3002\u4ece\u5de6\u5fc3\u7684\u5927\u5c0f\u3001\u5bb9\u79ef\u5f00\u59cb\u76ee\u6d4b\u8bc4\u4f30\uff0c\u5982\u679c\u53d1\u73b0\u76ee\u6d4b\u7684\u7ed3\u679c\u5f02\u5e38\uff0c\u6b64\u65f6\u901a\u8fc7\u7cbe\u51c6\u7684\u6d4b\u91cf\u6709\u52a9\u4e8e\u66f4\u597d\u5730\u8bc4\u4ef7\u5de6\u5fc3\u529f\u80fd\u3002\u4e00\u822c\u7528\u4ee5\u4e0b\u6307\u6807\u6765\u8bc4\u4f30\u5de6\u5fc3\u529f\u80fd\uff1a\uff081\uff09\u5de6\u5fc3\u5c04\u8840\u5206\u6570\uff08LVEF\uff09\uff1a\u6700\u5e38\u7528\u7684\u4e00\u4e2a\u503c\uff0c\u901a\u5e38\u91c7\u7528\u5fc3\u5c16\u53cc\u5e73\u9762\u6539\u826fSimpson\u6cd5\uff08\u56fe21\uff09\u6216\u8005Teichholtz\u6cd5\uff08\u56fe22\uff09\u6d4b\u91cf\u3002\u82e5\u6709\u5fc3\u808c\u8282\u6bb5\u8fd0\u52a8\u5f02\u5e38\uff0c\u63a8\u8350Simpson\u6cd5\uff0c\u5728\u5fc3\u5c16\u56db\u8154\u5fc3\u5207\u9762\u6216\u5fc3\u5c16\u4e24\u8154\u5fc3\u5e73\u9762\uff0c\u5229\u7528\u8d85\u58f0\u7cfb\u7edf\u81ea\u5e26\u7684\u8f6f\u4ef6\uff0c\u63cf\u8bb0\u5de6\u5fc3\u5ba4\u5728\u6536\u7f29\u672b\u671f\u548c\u8212\u5f20\u672b\u671f\u7684\u8fb9\u754c\uff0c\u8bbe\u5907\u81ea\u52a8\u7b97\u51faLVEF\u503c\u3002\u82e5\u65e0\u5fc3\u808c\u8282\u6bb5\u8fd0\u52a8\u5f02\u5e38\uff0c\u53ef\u91c7\u7528M\u8d85\u80f8\u9aa8\u65c1\u957f\u8f74\u5207\u9762Teichholtz\u6cd5\u6765\u6d4b\u91cf\uff0c\u53d6\u6837\u7ebf\u5782\u76f4\u4e8e\u5ba4\u95f4\u9694\u548c\u5de6\u5ba4\u540e\u58c1\u3002Teichholtz\u6cd5\u7684LVEF\u8ba1\u7b97\u516c\u5f0f\u4e3a\uff1a\u0394D<sup>2<\/sup>=\uff08LVED<sup>2<\/sup>-LVES<sup>2<\/sup>\uff09\/&nbsp;LVED<sup>2<\/sup>\u00d7100%LVEF=\u0394D<sup>2<\/sup> \uff08100&nbsp;&#8211;&nbsp;\u0394D<sup>2<\/sup>\uff09\u00d715%\u3010LVED\u4e3a\u5de6\u5ba4\u8212\u5f20\u671f\u5185\u5f84\uff0cLVES\u4e3a\u5de6\u5ba4\u6536\u7f29\u671f\u5185\u5f84\u3011\u5404\u79cd\u65b9\u6cd5\u6d4b\u91cf\u7684LVEF\u53c2\u8003\u503c\u901a\u5e38\u5927\u4e8e50%\u3002<\/p>\n<p>\u56fe21.&nbsp;Simpson\u6cd5\u5728A4C\u5207\u9762\u6216A2C\u5207\u9762\u6d4b\u91cfLVEF<\/p>\n<p>\u56fe22.&nbsp;Teichholtz\u6cd5\u5728PLAX\u5207\u9762\u6d4b\u91cfLVEF\uff082\uff09\u5de6\u5ba4\u77ed\u8f74\u7f29\u77ed\u5206\u6570FS\uff1a\u4ee5M\u8d85\u5728\u80f8\u9aa8\u65c1\u957f\u8f74\u5207\u9762\uff08PLAX\u5207\u9762\uff09\u6d4b\u91cf\uff0c\u53d6\u6837\u7ebf\u5782\u76f4\u4e8e\u5ba4\u95f4\u9694\u548c\u5de6\u5ba4\u540e\u58c1\u3002\u5176\u53c2\u8003\u503c\u4e3a25%~40%\u3002\u5176\u8ba1\u7b97\u516c\u5f0f\u4e3a\uff1aFS\uff1d\uff08LVED\uff0dLVES\uff09\/LVED\u00d7100%\u3010LVED\u4e3a\u5de6\u5ba4\u8212\u5f20\u671f\u5185\u5f84\uff0cLVES\u4e3a\u5de6\u5ba4\u6536\u7f29\u671f\u5185\u5f84\u3011\u5177\u4f53\u53c2\u7167\u4e0a\u56feTeichholtz\u6cd5\u5728PLAX\u5207\u9762\u6d4b\u91cfLVEF\u7684\u5185\u5bb9\u3002\uff083\uff09\u4e8c\u5c16\u74e3\u74e3\u73af\u6536\u7f29\u671f\u4f4d\u79fb\/\u957f\u8f74\u7f29\u77ed\u91cf\uff08MAPSE\uff09\uff1a\u548c\u4e09\u5c16\u74e3TAPSE\u4e00\u6837\uff0c\u5728\u5fc3\u5c16\u56db\u8154\u5fc3\u5207\u9762\uff0c\u4f7f\u7528M\u8d85\uff0c\u7784\u51c6\u5916\u4fa7\u4e8c\u5c16\u74e3\u6839\u90e8\uff0c\u8ffd\u8e2a\u4f4d\u79fb\u6c34\u5e73\uff08\u56fe23\uff09\u3002MAPSE\u7684\u53c2\u8003\u503c\u4e3a\u5927\u4e8e1.3&nbsp;cm\u3002<\/p>\n<p>\u56fe23. M\u8d85\u6d4b\u91cfMAPSE\uff084\uff09\u5de6\u5ba4\u77ed\u8f74\u5207\u9762\u9762\u79ef\u53d8\u5316\u5206\u6570\uff08LV-FAC%\uff09\uff1a\u5728\u80f8\u9aa8\u65c1\u77ed\u8f74\uff08PSAX\uff09\u4e73\u5934\u808c\u5207\u9762\uff08\u56fe24\uff09\uff0c\u6e05\u6670\u663e\u793a\u5fc3\u5185\u819c\u4ee5\u540e\uff0c\u5206\u522b\u52fe\u52d2\u5de6\u5ba4\u8212\u5f20\u672b\u9762\u79ef\uff08LVEDA\uff09\u548c\u5de6\u5ba4\u6536\u7f29\u672b\u9762\u79ef\uff08LVESA\uff09\uff0c\u901a\u8fc7\u4e0b\u9762\u516c\u5f0f\u8fdb\u884c\u8ba1\u7b97\uff1aLV-FAC%=\uff08LVEDA-LVESA\uff09\/LVEDA\u00d7100%LVFAC%\u7684\u53c2\u8003\u503c\u4e3a50%~75%\u3002<\/p>\n<p>\u56fe24. PSAX\u4e73\u5934\u808c\u5207\u9762\u6d4b\u91cfLVEA\uff085\uff09\u7ec4\u7ec7\u591a\u666e\u52d2\uff08LV-TDI\uff09\uff1a\u5fc3\u5c16\u56db\u8154\u5fc3\u5207\u9762\uff0c\u5728\u4e8c\u5c16\u74e3\u74e3\u73af\u5904\u6216\u4fa7\u58c1\u5904\uff0c\u53d6\u6837\u5bb9\u79ef5~10 mm\u8fdb\u884c\u6d4b\u91cf\u3002\u5178\u578b\u7684LV-TDI\u56fe\u50cf\u5982\u56fe25\u6240\u793a\u3002<\/p>\n<p>\u56fe25.&nbsp;LV-TDI\u7684\u6d4b\u91cf\u6536\u7f29\u671f\u7684Sa\uff08s\u2019\uff09\u5cf0\uff0c\u8212\u5f20\u65e9\u671fEa\uff08e\u2019\uff09\u5cf0\u548c\u8212\u5f20\u665a\u671fAa\uff08a\u2019\uff09\u5cf0\u3002Ea\uff08e\u2019\uff09\u53cd\u6620\u5fc3\u808c\u7684\u677e\u5f1b\u80fd\u529b\uff0c\u5728\u4fa7\u58c1\u6d4b\u91cf\u7684\u6570\u503c\u9ad8\u4e8e\u5ba4\u95f4\u9694\u58c1\u6d4b\u91cf\u7684\u503c\uff0c\u5176\u6b63\u5e38\u53c2\u8003\u503c\u4e3a\u5927\u4e8e10 cm\/s\uff08\u4fa7\u58c1\uff09\u548c8 cm\/s\uff08\u5ba4\u95f4\u9694\uff09\uff1b\u4e00\u822c\u6765\u8bf4\uff0cAa\uff08a\u2019\uff09\u5927\u4e8e8 cm\/s\u3002\uff086\uff09\u8109\u51b2\u591a\u666e\u52d2\uff08PW\uff09\u8bc4\u4f30\u4e8c\u5c16\u74e3\u8212\u5f20\u671f\u8840\u6d41\uff1a\u5728\u5fc3\u5c16\u56db\u8154\u5fc3\u5207\u9762\uff0c\u5c06\u53d6\u6837\u5bb9\u79ef\u7f6e\u4e8e\u4e8c\u5c16\u74e3\u6c34\u5e73\u5f00\u653e\u59042 mm\uff0c\u901a\u8fc7\u8109\u51b2\u591a\u666e\u52d2\uff08PW\uff09\u8bc4\u4f30\u4e8c\u5c16\u74e3\u8212\u5f20\u671f\u8840\u6d41\u3002\u5178\u578bLV-PW\u56fe\u50cf\u5982\u56fe26\u6240\u793a\u3002<\/p>\n<p>\u56fe26.&nbsp;\u8109\u51b2\u591a\u666e\u52d2\uff08PW\uff09\u8bc4\u4f30\u4e8c\u5c16\u74e3\u8840\u6d41<\/p>\n<p>\u5305\u62ec\u8212\u5f20\u65e9\u671f\u7684\u5feb\u901f\u5145\u76c8\u6700\u5927\u8840\u6d41\u7684E\u5cf0\u3001\u8212\u5f20\u665a\u671f\u5fc3\u623f\u6536\u7f29\u4ea7\u751f\u7684\u6700\u5927\u8840\u6d41A\u5cf0\u548cE\u5cf0\u964d\u4f4e\u52300\u7684E\u6ce2\u51cf\u901f\u65f6\u95f4EDT\u3002E\u5cf0\u5e73\u5747\u503c\u4e3a73&nbsp;cm\/s\uff0cA\u5cf0\u5e73\u5747\u503c40 cm\/s\uff0cEDT\u6b63\u5e38\u503c\u4e3a160~240 ms\u3002\u82e5\u51fa\u73b0\u8212\u5f20\u529f\u80fd\u6539\u53d8\u65f6\uff0cE\u6ce2\u51cf\u6162\uff0cE\/A\u5012\u7f6e\uff08\u677e\u5f1b\u529f\u80fd\u969c\u788d\uff09\uff1b\u968f\u7740\u5de6\u623f\u538b\u7684\u5347\u9ad8\uff0cE\u6ce2\u518d\u6b21\u5347\u9ad8\uff0cE\/A\u518d\u6b21\u5927\u4e8e1\uff08\u5047\u6027\u6b63\u5e38\u5316\uff09\uff1b\u968f\u7740\u8212\u5f20\u529f\u80fd\u7684\u8fdb\u4e00\u6b65\u969c\u788d\uff0cE\/A\u6bd4\u503c\u5927\u4e8e2\uff08\u9650\u5236\u6027\u5145\u76c8\u529f\u80fd\u969c\u788d\uff09\uff08\u56fe27\uff09\u3002<\/p>\n<p>\u56fe27. PW\u4e0bLV\u8212\u5f20E\u5cf0\u548cA\u5cf0\u968f\u7740\u8212\u5f20\u529f\u80fd\u7684\u53d8\u5316<\/p>\n<p>\u6b64\u65f6\uff0c\u6211\u4eec\u9700\u8981\u7ed3\u5408TDI\u7684\u6d4b\u91cf\u6570\u636e\u4e0ePW\u7684\u6d4b\u91cf\u6570\u636e\u4e00\u8d77\u8bc4\u4f30\u60a3\u8005\u5de6\u5fc3\u8212\u5f20\u529f\u80fd\u60c5\u51b5\u3002\u8212\u5f20\u65e9\u671f\u8840\u6d41\u7684\u5cf0\u6d41\u901f\uff08PW\uff09E\u5cf0\u4e0e\u8212\u5f20\u65e9\u671f\u5fc3\u808c\u8fd0\u52a8\uff08TDI\uff09e\u2019\u5cf0\u7684\u6bd4\u503c\u53ef\u4ee5\u7528\u6765\u8f85\u52a9\u5224\u65ad\u60a3\u8005\u8212\u5f20\u529f\u80fd\u60c5\u51b5\u3002\u82e5E\/e\u2019\u5c0f\u4e8e8\u65f6\uff0c\u53ef\u4ee5\u6392\u9664\u5de6\u5fc3\u8212\u5f20\u529f\u80fd\u5f02\u5e38\uff1bE\/e\u2019\u57288~15\u533a\u95f4\u65f6\uff0c\u7ed3\u5408\u5176\u4ed6\u6307\u6807\u5224\u65ad\uff1bE\/e\u2019\u5927\u4e8e15\u65f6\uff0c\u5224\u65ad\u5b58\u5728\u8212\u5f20\u529f\u80fd\u969c\u788d\u3002\uff087\uff09\u80ba\u9759\u8109\u8840\u6d41\u9891\u8c31\uff1a\u5728\u5fc3\u5c16\u56db\u8154\u5fc3\u5207\u9762\uff0c\u53d6\u6837\u5bb9\u79ef2 mm\uff0c\u5728\u53f3\u4e0a\u80ba\u9759\u8109\u5185\u6df1\u7ea60.5 cm\u5904\u83b7\u53d6\u8840\u6d41\u9891\u8c31\uff08PW\uff09\u3002\u5176\u53c2\u8003\u6ce2\u5f62\u5982\u56fe28\u6240\u793a\u3002<\/p>\n<p>\u56fe28.&nbsp;\u80ba\u9759\u8109\u8840\u6d41\u9891\u8c31\uff08PW\uff09\u793a\u610f\u56fe\u5305\u62ec\u6536\u7f29\u671f\u987a\u884c\u6ce2\u5cf0S\u5cf0\uff0c\u8212\u5f20\u65e9\u671f\u987a\u884c\u6ce2\u5cf0D\u5cf0\uff0c\u8212\u5f20\u665a\u671f\u9006\u884c\u6ce2\u5cf0Ar\u3002\u4e00\u822c\u6765\u8bf4\uff0c\u5bf9\u4e8e40\u5c81\u4ee5\u4e0a\u6210\u4eba\uff0c\u80ba\u9759\u8109\u8840\u6d41\u9891\u8c31\u7684S\/D\u5927\u4e8e1\u3002\u5728\u5de6\u5ba4\u677e\u5f1b\u6027\u964d\u4f4e\u9636\u6bb5\uff0cS\/D\u5927\u4e8e1\u4e14Ar\u5927\u4e8e35 cm\/s\uff1b\u5728\u5047\u6027\u6b63\u5e38\u9636\u6bb5\uff0cS\/D\u5c0f\u4e8e1\uff0cAr\u5347\u9ad8\u6216\u4e0d\u53d8\uff1b\u5728\u9650\u5236\u6027\u5145\u76c8\u9636\u6bb5\uff0cS\/D\u8fdb\u4e00\u6b65\u964d\u4f4e\uff0cAr\u5347\u9ad8\u8d85\u8fc735 cm\/s\uff0c\u4e14Ar\u65f6\u95f4\u51cf\u53bbPW\u4e0b\u4e8c\u5c16\u74e3\u8840\u6d41\u9891\u8c31A\u5cf0\u65f6\u95f4\u7684\u5dee\u503c\u5927\u4e8e30ms\u3002\uff088\uff09\u5de6\u5ba4\u538b\u529b\u6700\u5927\u4e0a\u5347\u901f\u7387\uff08dp\/dt\uff09\uff1a\u5728\u5fc3\u5c16\u56db\u8154\u5fc3\u5207\u9762\uff08PW\u6a21\u5f0f\uff09\u4e8c\u5c16\u74e3\u74e3\u73af\u4f4d\u7f6e\u6d4b\u91cf\uff0c\u5229\u7528\u4e8c\u5c16\u74e3\u53cd\u6d41\u9891\u8c31\u8ba1\u7b971 m\/s\u52303 m\/s\u4e4b\u95f4\u7684\u65f6\u95f4\u5deedt\uff0c\u6839\u636e\u4f2f\u52aa\u5229\u65b9\u7a0b\uff0c\u4e24\u8005\u538b\u529b\u5dee\u4e3a32 mmHg\uff0c\u6545dp\/dt=32\/dt\u00d71000\u3002\u5176\u53c2\u8003\u503c\u5e38\u89c4\u5927\u4e8e1200 mmHg\/s, \u5c0f\u4e8e1000 mmHg\/s\u4e3a\u5f02\u5e38\u503c\u3002\u5176\u53c2\u8003\u56fe\u50cf\u5982\u56fe29\u6240\u793a\u3002<\/p>\n<p>\u56fe29.&nbsp;\u5de6\u5fc3\u5ba4\u4e8c\u5c16\u74e3dp\/dt\u6d4b\u91cf\uff089\uff09\u4e8c\u5c16\u74e3\u524d\u5411\u8840\u6d41\u5f69\u8272M\u8d85\u591a\u666e\u52d2\uff1a\u5728\u5fc3\u5c16\u56db\u8154\u5fc3\u5207\u9762\uff0c\u5229\u7528\u5f69\u8272\u591a\u666e\u52d2\u6d4b\u91cf\u4e8c\u5c16\u74e3\u6e05\u6670\u8840\u6d41\uff0c\u91c7\u7528M\u8d85\uff0c\u5c3d\u91cf\u5e73\u884c\u4e8e\u8840\u6d41\u65b9\u5411\uff0cM\u53d6\u6837\u7ebf\u901a\u8fc7\u8840\u6d41\u4e2d\u592e\uff0c\u83b7\u53d6\u5f69\u8272M\u578b\u591a\u666e\u52d2\u56fe\u8c31\uff0c\u6d4b\u5b9a\u4ece\u4e8c\u5c16\u74e3\u73af\u5230\u5fc3\u5ba44 cm\u5904\u7684\u8212\u5f20\u65e9\u671f\u8840\u6d41\u659c\u7387\uff0c\u8be5\u7ed3\u679c\u4e3a\u8840\u6d41\u4f20\u64ad\u901f\u5ea6\uff08Vp\uff09\uff0c\u53c2\u8003\u503c\u5927\u4e8e50 cm\/s\u3002\u4e8c\u5c16\u74e3\u8212\u5f20\u65e9\u671f\u5cf0\u503c\u8840\u6d41\u901f\u5ea6E\u4e0e\u8840\u6d41\u4f20\u64ad\u901f\u5ea6\uff08Vp\uff09\u7684\u6bd4\u503c\uff0c\u82e5E\/Vp\u5927\u4e8e2.5\uff0c\u5219PAWP\u5927\u4e8e15 mmgHg\u3002\u5176\u53c2\u8003\u793a\u610f\u56fe\u5982\u56fe30\u6240\u793a\u3002<\/p>\n<p>\u56fe30.&nbsp;\u83b7\u5f97\u4e8c\u5c16\u74e3\u53e3\u5f69\u8272M\u578b\u8840\u6d41\u64ad\u6563\u56fe\uff0c\u8c03\u8282\u901f\u5ea6\u6807\u5c3aScale\uff0c\u4f7f\u9ad8\u4e8e\u6df7\u8fed\u901f\u5ea6\u7684\u8840\u6d41\u6210\u9ec4\u8272\u663e\u793a\u5728\u7ea2\u8272\u5145\u76c8\u8840\u6d41\u4fe1\u53f7\u5185\uff0c\u626b\u63cf\u901f\u5ea6100&nbsp;mm\/s\uff0c\u6d4b\u4e8c\u5c16\u74e3\u53e3\u8212\u5f20\u65e9\u671f\u9ec4\u8272\u8840\u6d41\u4fe1\u53f7\u4e0a\u5347\u659c\u7387Slope\uff0c\u5373\u4e3a\u4e8c\u5c16\u74e3\u53e3\u8212\u5f20\u671f\u8840\u6d41\u4f20\u64ad\u901f\u5ea6\uff08Vp\uff09\uff0810\uff09\u5de6\u5ba4\u5fc3\u529f\u80fd\u6307\u6570\uff08LV Tei\uff09\uff1a\u53ef\u4ee5\u901a\u8fc7\u4ee5\u4e0b\u4e24\u79cd\u65b9\u6cd5\u6d4b\u5f97\uff1a\u2460PW\u4e0b\u5728\u5fc3\u5c16\u4e94\u8154\u5fc3\u5207\u9762\u6d4b\u91cf\u53d6\u6837\u5bb9\u79ef\u653e\u7f6e\u4e8e\u5de6\u5ba4\u6d41\u51fa\u9053\u4e0e\u4e8c\u5c16\u74e3\u53e3\u4e4b\u95f4\uff0c\u83b7\u5f97\u6536\u7f29\u671f\u5de6\u5ba4\u6d41\u51fa\u9053\u53ca\u8212\u5f20\u671f\u4e8c\u5c16\u74e3\u524d\u5411\u8840\u6d41\u7684\u901f\u5ea6\u56fe\uff08\u56fe31\uff09\u3002\u6d4b\u5b9a\u4e8c\u5c16\u74e3\u5173\u95ed\u81f3\u4e3b\u52a8\u8109\u74e3\u5f00\u653e\u7684\u65f6\u95f4\u4e3aIVCT\uff0c\u4e3b\u52a8\u8109\u74e3\u8840\u6d41\u9891\u8c31\u5f00\u59cb\u81f3\u9891\u8c31\u672b\u65f6\u95f4\u4e3a\u5de6\u5fc3\u5ba4\u5c04\u8840\u65f6\u95f4\uff08ET\uff09\uff0c\u4e3b\u52a8\u8109\u5173\u95ed\u81f3\u4e8c\u5c16\u74e3\u5f00\u653e\u7684\u65f6\u95f4\u4e3aIVRT\u3002<\/p>\n<p>\u56fe31. PW\u6d4b\u91cfLV MPI\uff0cTei=\uff08IVCT IVRT\uff09\/ET\u2461TDI\u4e0b\u5728\u5fc3\u5c16\u4e94\u8154\u5fc3\u5207\u9762\u6d4b\u91cf\uff0c\u53d6\u6837\u5bb9\u79ef\u653e\u7f6e\u4e8e\u4e8c\u5c16\u74e3\u73af\uff0c\u83b7\u5f97\u7ec4\u7ec7\u591a\u666e\u52d2\u901f\u5ea6\u56fe\uff08\u56fe32\uff09\u3002Sa\uff08s\u2019\uff09\u6ce2\u7ed3\u675f\u81f3Ea\uff08e\u2019\uff09\u5f00\u59cb\u4e4b\u524d\uff0c\u4e3aIVRT\u3002Aa\uff08a\u2019\uff09\u7ed3\u675f\u81f3Sa\uff08s\u2019\uff09\u6ce2\u5f00\u59cb\u4e4b\u524d\u4e3aIVCT\u3002Sa\uff08s\u2019\uff09\u6ce2\u6301\u7eed\u65f6\u95f4\u4e3aET\u3002<\/p>\n<p>\u56fe32. TDI \u6d4b\u91cfLV MPI\uff0cTei=\uff08IVCT IVRT\uff09\/ET\u5de6\u5ba4Tei \u6307\u6570\u8303\u56f4\u4e3a0.39\u00b10.10\uff0c\u503c\u8d8a\u5927\uff0c\u4ee3\u8868\u5fc3\u529f\u80fd\u4e0b\u964d\u8d8a\u660e\u663e\u3002\u4ee5\u4e0a\u4e3a\u5de6\u5fc3\u529f\u80fd\u7684\u8bc4\u4f30\uff0c2018\u5e74\u300a\u91cd\u75c7\u8d85\u58f0\u4e34\u5e8a\u5e94\u7528\u6280\u672f\u89c4\u8303\u300b\u5bf9\u76f8\u5173\u5185\u5bb9\u548c\u6d41\u7a0b\u505a\u4e86\u603b\u7ed3\uff0c\u73b0\u6458\u5f55\u5982\u4e0b\uff08\u56fe33\uff09\uff0c\u4f9b\u53c2\u8003\u3002<\/p>\n<p>\u56fe33. \u5de6\u5fc3\u529f\u80fd\u8bc4\u4f30\u6d41\u7a0b\u56fe2.3&nbsp;&nbsp;\u76f8\u5173\u538b\u529b\u7684\u8bc4\u4f30\u6839\u636e\u524d\u9762\u7684\u5185\u5bb9\uff0c\u6211\u4eec\u5206\u522b\u5bf9\u5de6\u5fc3\u4e0e\u53f3\u5fc3\u7684\u6536\u7f29\u4e0e\u8212\u5f20\u529f\u80fd\u505a\u4e86\u5b9a\u91cf\u7684\u8bc4\u4f30\uff0c\u5728\u6b64\u57fa\u7840\u4e0a\uff0c\u6211\u4eec\u4e5f\u53ef\u4ee5\u5bf9\u60a3\u8005\u5fc3\u810f\u76f8\u5173\u7684\u538b\u529b\u505a\u8bc4\u4f30\uff0c\u5176\u76f8\u5e94\u7684\u64cd\u4f5c\u5982\u4e0b\uff1a\uff081\uff09\u5de6\u5ba4\u5145\u76c8\u538b\uff1a\u5229\u7528PW\u6d4b\u91cf\u7684\u4e8c\u5c16\u74e3\u74e3\u73af\u53cd\u6d41\u8840\u6d41\u9891\u8c31\u91cc\u9762\u7684\u65e9\u671f\u53cd\u6d41E\u5cf0\u4e0e\u5229\u7528\u7ec4\u7ec7\u591a\u666e\u52d2TDI\u6d4b\u5f97\u7684\u4e8c\u5c16\u74e3\u4fa7\u58c1\u74e3\u73af\u8212\u5f20\u65e9\u671fEa\uff08e\u2019\uff09\u5cf0\u503c\u7684\u6bd4\u503cE\/e\u2019\u6765\u8bc4\u4f30\uff0c\u82e5\u5927\u4e8e14\uff0c\u5219\u5de6\u623f\u538b\u5927\u4e8e15 mmHg\uff1b\u82e5\u5c0f\u4e8e8\uff0c\u5219\u63d0\u793a\u5de6\u623f\u538b\u5c0f\u4e8e15 mmHg\u3002\uff082\uff09\u53f3\u623f\u538b\uff08RAP\uff09\u548c\u4e2d\u5fc3\u9759\u8109\u538b\uff08CVP\uff09\uff1a\u53ef\u4ee5\u901a\u8fc7\u4e0b\u8154\u9759\u8109\uff08IVC\uff09\u5185\u5f84\u548c\u584c\u9677\u5ea6\u6765\u8bc4\u4f30\u3002\u5bf9\u4e8eIVC\u5c0f\u4e8e1.2 cm\u60a3\u8005\uff0c\u8003\u8651\u5176RAP\u5c0f\u4e8e10 mmHg\u3002\u82e5\u60a3\u8005\u65e0\u673a\u68b0\u901a\u6c14\uff0c\u5219\u53ef\u4ee5\u53c2\u8003\u88683\u8fdb\u884c\u8bc4\u4f30\u3002<\/p>\n<p>\u88683&nbsp; \u53f3\u623f\u538b\uff08RAP\uff09\u548c\u4e2d\u5fc3\u9759\u8109\u538b\uff08CVP\uff09\u8bc4\u4f30<\/p>\n<p>\uff083\uff09\u80ba\u52a8\u8109\u538b\uff1a\u53ef\u4ee5\u901a\u8fc7\u4e09\u5c16\u74e3\u53cd\u6d41\u901f\u5ea6\u6765\u8bc4\u4f30\uff08\u56fe34\uff09\uff0c\u6839\u636e\u6539\u826f\u4f2f\u52aa\u5229\u65b9\u7a0b\u548c\u4f30\u6d4b\u7684\u53f3\u623f\u538b\u6765\u83b7\u5f97\u3002\u5176\u8ba1\u7b97\u516c\u5f0f\u4e3a\uff1a<\/p>\n<p>\u80ba\u52a8\u8109\u6536\u7f29\u538b=4\u00d7\uff08\u4e09\u5c16\u74e3\u53cd\u6d41\u5cf0\u503c\u901f\u5ea6\uff092 \u53f3\u623f\u538b<\/p>\n<p>\u80ba\u52a8\u8109\u8212\u5f20\u538b=4\u00d7\uff08\u80ba\u52a8\u8109\u74e3\u53cd\u6d41\u8212\u5f20\u672b\u671f\u901f\u5ea6\uff092 \u53f3\u623f\u538b<\/p>\n<p>\u80ba\u52a8\u8109\u5e73\u5747\u538b=4\u00d7\uff08\u4e09\u5c16\u74e3\u53cd\u6d41\u5cf0\u503c\u901f\u5ea6\uff092<\/p>\n<\/p>\n<p>\u56fe34.&nbsp;PA\u7684\u6d4b\u7b97\uff084\uff09\u80ba\u8840\u7ba1\u963b\u529b\uff08PVR\uff09\uff1a\u6839\u636e\u4e09\u5c16\u74e3\u53cd\u6d41\u5cf0\u503c\u6d41\u901f\uff08TRV\uff09\u548c\u53f3\u5ba4\u6d41\u51fa\u9053\u901f\u5ea6-\u65f6\u95f4\u79ef\u5206\u6bd4\u503c\uff08VTIRVOT\uff09\uff0c\u53ef\u4ee5\u5e2e\u52a9\u6d4b\u91cf\u80ba\u8840\u7ba1\u963b\u529b\uff08PVR\uff09\u3002\u5176\u8ba1\u7b97\u516c\u5f0f\u4e3a\uff1aPVR=TRV\/VTI\u00d710 0.16\uff085\uff09\u5fc3\u8f93\u51fa\u91cf\uff08CO\uff09\uff1a\u4e00\u822c\u5728\u5fc3\u5c16\u4e94\u8154\u5fc3\u5207\u9762\u548c\u80f8\u9aa8\u65c1\u957f\u8f74\u5207\u9762\u8fdb\u884c\u6d4b\u5b9a\uff08\u56fe35\uff09\u3002\u5728\u5fc3\u5c16\u4e94\u8154\u5fc3\u5207\u9762\uff0c\u4f7f\u7528PW\u6a21\u5f0f\u83b7\u53d6\u4e3b\u52a8\u8109\u8840\u6d41\u9891\u8c31\uff0c\u63cf\u8bb0\u6d4b\u91cf\u5176\u6d41\u901f-\u65f6\u95f4\u79ef\u5206\uff08VTI\uff09\u3002\u5728\u80f8\u9aa8\u65c1\u957f\u8f74\u5207\u9762\uff0c\u6d4b\u91cf\u4e3b\u52a8\u8109\u74e3\u73af\u76f4\u5f84\u6216\u8005\u5de6\u5ba4\u6d41\u51fa\u9053\u76f4\u5f84D\u3002\u5219\u5728\u4e3b\u52a8\u8109\u65e0\u660e\u663e\u53cd\u6d41\u7684\u60c5\u51b5\u4e0b\uff0c\u6211\u4eec\u53ef\u4ee5\u8ba1\u7b97\u5f97\u60a3\u8005\u7684\u5fc3\u6392\u91cf\u5982\u4e0b\uff1aCO=\u03c0\u00d7\uff08D\/2\uff092\u00d7VTI\u00d7HR<\/p>\n<p>\u56fe35.&nbsp;\u4e3b\u52a8\u8109\u74e3VTI\u7684\u6d4b\u91cf\u548c\u4e3b\u52a8\u8109\u74e3\u74e3\u73af\u5185\u5f84\u7684\u6d4b\u91cf<\/p>\n<p>3<\/p>\n<p>\u91cd\u75c7\u5fc3\u810f\u8d85\u58f0\u548c\u8840\u6d41\u52a8\u529b\u5b66\u76d1\u6d4b<\/p>\n<p>\u6839\u636e\u524d\u5e8f\u7684\u5185\u5bb9\uff0c\u53c2\u80032018\u7248\u300a\u91cd\u75c7\u8d85\u58f0\u4e34\u5e8a\u5e94\u7528\u6280\u672f\u89c4\u8303\u300b\u4e2d\u63d0\u51fa\u7684\u8840\u6d41\u52a8\u529b\u5b66\u516d\u6b65\u6cd5\uff0c\u7ed3\u5408\u5b9a\u91cf\u548c\u5b9a\u6027\u65b9\u6848\u6765\u5bf9\u60a3\u8005\u7684\u8840\u6d41\u52a8\u529b\u5b66\u60c5\u51b5\u8fdb\u884c\u8bc4\u4f30\u3001\u6ef4\u5b9a\u548c\u6cbb\u7597\u3002\u73b0\u5c06\u4e3b\u8981\u5185\u5bb9\u8fdb\u884c\u5f52\u7eb3\u3002\uff081\uff09\u5fc3\u810f\u6574\u4f53\u8bc4\u4f30\uff1a\u4ee5\u5fc3\u810f\u6574\u4f53\u8bc4\u4f30\u6d41\u7a0b\u5206\u6790\u8d85\u58f0\u68c0\u67e5\u7ed3\u679c\uff0c\u53d1\u73b0\u9700\u8981\u7d27\u6025\u5e72\u9884\u7684\u5fc3\u810f\u6025\u6027\u60c5\u51b5\uff1b\u8bc6\u522b\u5df2\u5b58\u5728\u7684\u660e\u663e\u7684\u5fc3\u810f\u6162\u6027\u75be\u75c5\u3002\uff082\uff09\u5bb9\u91cf\u53ca\u5bb9\u91cf\u72b6\u6001\u8bc4\u4f30\uff1a\u4ee5\u4e0b\u8154\u9759\u8109\u4e3a\u57fa\u7840\u7684\u5bb9\u91cf\u72b6\u6001\u548c\u5bb9\u91cf\u53cd\u5e94\u6027\u8bc4\u4f30\u6d41\u7a0b\u5206\u6790\u8d85\u58f0\u68c0\u67e5\u7ed3\u679c\uff0c\u5feb\u901f\u786e\u5b9a\u5bb9\u91cf\u72b6\u6001\u5e76\u8bc4\u4f30\u5bb9\u91cf\u53cd\u5e94\u6027\u3002\uff083\uff09\u53f3\u5fc3\u8bc4\u4f30\uff1a\u5feb\u901f\u5224\u65ad\u53f3\u5fc3\u5f62\u6001\u5927\u5c0f\uff1b\u5ba4\u95f4\u9694\u6709\u65e0\u53d7\u538b\u548c\/\u6216\u77db\u76fe\u8fd0\u52a8\uff1b\u53f3\u5fc3\u6536\u7f29\u8fd0\u52a8\u6709\u65e0\u5f02\u5e38\uff1b\u4e0a\u8ff0\u5f02\u5e38\u662f\u6025\u6027\u6291\u6216\u6162\u6027\u3002\uff084\uff09\u4ee5\u5b9a\u6027\u8bc4\u4f30\u4e3a\u57fa\u7840\uff08\u4e0a\u6587\u5de6\u5fc3\u529f\u80fd\u8bc4\u4f30\u56fe\uff09\u8bc4\u4f30\u5de6\u5fc3\u5ba4\u6536\u7f29\u548c\u8212\u5f20\u529f\u80fd\u3002\uff085\uff09\u5916\u5468\u963b\u529b\u7684\u8bc4\u4f30\uff1a\u95f4\u63a5\u5224\u65ad\u6cd5\u6216\u6392\u9664\u6cd5\uff0c\u4e5f\u53ef\u4ee5\u6839\u636e\u5fc3\u6392\u91cf\u7684\u6570\u503c\uff0c\u83b7\u5f97\u4f53\u5faa\u73af\u963b\u529b\u7cfb\u6570\u4ee5\u8fdb\u884c\u8bc4\u4ef7\u3002\uff086\uff09\u7ec4\u7ec7\u704c\u6ce8\u8bc4\u4f30\u4e0e\u80ba\u6c34\u8bc4\u4f30\uff1a\u5229\u7528\u80be\u810f\u8840\u6d41\u8bc4\u5206\u6765\u53cd\u6620\u7ec4\u7ec7\u704c\u6ce8\u72b6\u6001\uff1b\u5229\u7528\u80ba\u90e8\u8d85\u58f0\u7684\u80ba\u6c34\u534a\u5b9a\u91cf\u8bc4\u4f30\u6765\u5224\u65ad\u6db2\u4f53\u6cbb\u7597\u7684\u98ce\u9669\u3002<\/p>\n<p>4<\/p>\n<p>\u603b\u7ed3<\/p>\n<p>\u8d85\u58f0\u4f5c\u4e3a\u4e34\u5e8a\u4e0a\u8bc4\u4f30\u5fc3\u810f\u548c\u5faa\u73af\u529f\u80fd\u975e\u5e38\u5e38\u7528\u7684\u5de5\u5177\uff0c\u5728\u6807\u51c6\u5207\u9762\u4e0b\u8fdb\u884c\u7684\u89c4\u8303\u5316\u3001\u6d41\u7a0b\u5316\u7684\u68c0\u67e5\u548c\u6301\u7eed\u52a8\u6001\u8bc4\u4f30\u7684\u8fdb\u884c\uff0c\u5bf9\u60a3\u8005\u7684\u6cbb\u7597\u6307\u5bfc\u548c\u65b9\u5411\u7684\u628a\u63a7\uff0c\u6709\u7740\u6781\u5176\u91cd\u8981\u7684\u53c2\u8003\u4ef7\u503c\u3002\u91cd\u75c7\u8d85\u58f0\u5bf9\u5fc3\u810f\u76f8\u5173\u8840\u7ba1\u3001\u8840\u6d41\u52a8\u529b\u5b66\u76d1\u6d4b\u7684\u8be6\u7ec6\u8bc4\u4f30\u3001\u5fc3\u80ba\u4ea4\u4e92\u4f5c\u7528\u548c\u5176\u4ed6\u76f8\u5173\u7684\u5e94\u7528\u7b49\u5185\u5bb9\uff0c\u5c06\u4e8e\u672c\u4e13\u9898\u540e\u7eed\u6587\u7ae0\u4e2d\u9010\u4e00\u5448\u73b0\u3002\u656c\u8bf7\u671f\u5f85\uff01<\/p>\n<p>\u53c2\u8003\u6587\u732e<\/p>\n<p>\u5411\u4e0b\u6ed1\u52a8\u67e5\u770b\u6587\u732e\ud83d\udc47<\/p>\n<p>[1] Rudski LG, Lai WW, Afilalo J, et al. Guidelines for the Echocardiographic Assessment of the Right Heart in Adults: A Report from the American Society of Echocardiography Endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography[J]. J Am Soc Echocardiogr, 2010, 23(7):685-713; quiz 786-8.&nbsp;<\/p>\n<p>[2] Mitchell C, Rahko PS, Blauwet LA, et al. Guidelines for Performing a Comprehensive Transthoracic Echocardiographic Examination in Adults: Recommendations from the American Society of Echocardiography[J]. J Am Soc Echocardiogr, 2019, 32(1):1-64.<\/p>\n<p>[3] \u5c39\u4e07\u7ea2, \u738b\u5c0f\u4ead, \u5218\u5927\u4e3a, \u7b49. \u91cd\u75c7\u8d85\u58f0\u4e34\u5e8a\u5e94\u7528\u6280\u672f\u89c4\u8303[J]. \u4e2d\u534e\u5185\u79d1\u6742\u5fd7, 2018, 57(6):397-417.<\/p>\n<p>[4] \u5e8a\u65c1\u8d85\u58f0\u5728\u6025\u5371\u91cd\u75c7\u4e34\u5e8a\u5e94\u7528\u4e13\u5bb6\u5171\u8bc6\u7ec4. \u5e8a\u65c1\u8d85\u58f0\u5728\u6025\u5371\u91cd\u75c7\u4e34\u5e8a\u5e94\u7528\u7684\u4e13\u5bb6\u5171\u8bc6[J]. \u4e2d\u534e\u6025\u8bca\u533b\u5b66\u6742\u5fd7, 2016, 25(1):10-21.&nbsp;<\/p>\n<p>&nbsp;\u4f5c\u8005\u4ecb\u7ecd<\/p>\n<\/p>\n<p>\u6f58\u5bbe\u6d77<\/p>\n<ul>\n<li>\u5357\u4eac\u5927\u5b66\u533b\u5b66\u9662\u9644\u5c5e\u91d1\u9675\u533b\u9662\u547c\u5438\u4e0e\u5371\u91cd\u75c7\u533b\u5b66\u79d1RICU\u547c\u5438\u6cbb\u7597\u5e08<\/li>\n<li>\u6bd5\u4e1a\u4e8e\u56db\u5ddd\u5927\u5b66\u534e\u897f\u4e34\u5e8a\u533b\u5b66\u9662\u547c\u5438\u6cbb\u7597\u4e13\u4e1a<\/li>\n<li>\u4e3b\u8981\u5de5\u4f5c\u7814\u7a76\u9886\u57df\uff1a\u547c\u5438\u4e0e\u5371\u91cd\u75c7\u60a3\u8005\u7684\u547c\u5438\u652f\u6301\u3001\u6c14\u9053\u7ba1\u7406\u3001\u5e8a\u8fb9\u652f\u6c14\u7ba1\u955c\u8bca\u6cbb\u3001\u91cd\u75c7\u8d85\u58f0\u7684\u5e94\u7528\u7b49<\/li>\n<\/ul>\n<p>&nbsp;\u6307\u5bfc\u8001\u5e08<\/p>\n<\/p>\n<p>\u79e6\u6d69<\/p>\n<ul>\n<li>\u6d77\u519b\u519b\u533b\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\u547c\u5438\u4e0e\u5371\u91cd\u75c7\u533b\u5b66\u79d1\u4e3b\u7ba1\u547c\u5438\u6cbb\u7597\u5e08<\/li>\n<li>\u4e13\u4e1a\u65b9\u5411\u4e3a\u673a\u68b0\u901a\u6c14\u3001\u5371\u91cd\u75c7\u76d1\u62a4\u53ca\u547c\u5438\u4ecb\u5165<\/li>\n<li>\u4e2d\u56fd\u533b\u5b66\u88c5\u5907\u534f\u4f1a\u547c\u5438\u75c5\u5b66\u88c5\u5907\u6280\u672f\u4e13\u4e1a\u59d4\u5458\u4f1a\u59d4\u5458<\/li>\n<li>\u4e2d\u56fd\u5eb7\u590d\u533b\u5b66\u4f1a\u547c\u5438\u5eb7\u590d\u4e13\u59d4\u4f1a\u7b2c\u4e8c\u5c4a\u59d4\u5458\u4f1a\u547c\u5438\u6cbb\u7597\u5b66\u7ec4\u59d4\u5458<\/li>\n<li>\u4e2d\u56fd\u533b\u5e08\u534f\u4f1a\u5185\u955c\u533b\u5e08\u57f9\u8bad\u5b66\u9662\u547c\u5438\u5185\u955c\u8d44\u6df1\u8bb2\u5e08<\/li>\n<li>\u4e0a\u6d77\u5e02\u533b\u5b66\u4f1a\u547c\u5438\u75c5\u5b66\u4e13\u79d1\u5206\u4f1a\u547c\u5438\u6cbb\u7597\u5b66\u7ec4\uff08\u7b79\uff09\u59d4\u5458\u517c\u79d8\u4e66<\/li>\n<li>\u4e0a\u6d77\u547c\u5438\u6cbb\u7597\u8054\u76df\u6838\u5fc3\u6210\u5458<\/li>\n<li>\u957f\u6d77\u533b\u9662\u5fae\u521b\u7cbe\u54c1\u8bfe\u7a0b\u5bfc\u5e08<\/li>\n<li>\u53d1\u8868SCI\u53ca\u6838\u5fc3\u671f\u520a8\u7bc7<\/li>\n<li>\u53c2\u4e0e\u5236\u5b9a\u4e13\u5bb6\u5171\u8bc62\u9879\uff0c\u53c2\u7f16\u53c2\u8bd1\u591a\u90e8\u8457\u4f5c\uff0c\u83b7\u5b9e\u7528\u65b0\u578b\u4e13\u52293\u9879<\/li>\n<li>\u53c2\u4e0e\u56fd\u5bb6\u7ea7\u8bfe\u98981\u9879\uff0c\u7701\u90e8\u7ea7\u8bfe\u98983\u9879\uff0c\u6821\u7ea7\u8bfe\u98982\u9879<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>\u4f5c\u8005\uff1a\u6f58\u5bbe\u6d77\uff08\u5357\u4eac\u5927\u5b66\u533b\u5b66\u9662\u9644\u5c5e\u91d1\u9675\u533b\u9662\u547c\u5438\u4e0e\u5371\u91cd\u75c7\u533b\u5b66\u79d1\uff09\u6307\u5bfc\u8001\u5e08\uff1a\u79e6\u6d69\uff08\u6d77\u519b &hellip; <a href=\"http:\/\/zydq.1006ss.com\/?p=38166\">\u7ee7\u7eed\u9605\u8bfb <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70],"tags":[],"class_list":["post-38166","post","type-post","status-publish","format-standard","hentry","category-70"],"_links":{"self":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/38166","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=38166"}],"version-history":[{"count":0,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/38166\/revisions"}],"wp:attachment":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=38166"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=38166"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=38166"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}