医师们在50多年来一直认为充血性心力衰竭(CHF)的红细胞沉降率(ESR)是低的.这个概念是由于1936年 Wood 的一篇报道所致。为了重新估计这一概念,本文作者对 CHF 患者242例进行观察。病人和方法本组患者男159例、女83例,年龄中位数为64岁。CHF 的病因:冠心病142例,特发性心肌病82例,严重二尖瓣或主动脉瓣病变或二者合并者18例。全部病例的左室射血分数均<35%。结果 10%患者(24例)ESR≤5mm/h,50%患者 ESR≥25mm/h。ESR≤25mm/h 患者较ESR≥25mm/h 患者的血液动力学异常更严重:心脏指数前者1.7±0.1,后者2.0±0.1L/min/M~2;中位右心房压力前者12±1,后者9±1mmHg。两者均为 P< Physicians have long argued for 50 years that the erythrocyte sedimentation rate (ESR) of congestive heart failure (CHF) is low, a concept that was due to a 1936 Wood report. In order to re-evaluate this concept, the author of the 242 patients with CHF were observed. Patients and Methods The group of 159 patients were male and female 83 cases, the median age was 64 years. Etiology of CHF: Coronary heart disease in 142 cases, 82 cases of idiopathic cardiomyopathy, severe mitral or aortic valve disease, or a combination of the two 18 cases. Left ventricular ejection fraction was <35% in all cases. Results ESR≤5mm / h in 10% of patients (24 cases) and ESR≥25mm / h in 50% of patients. Patients with ESR ≤ 25 mm / h had worse hemodynamics than those with ESR ≥ 25 mm / h: the former had a heart index of 1.7 ± 0.1 and the latter 2.0 ± 0.1 L / min / M 2; the former had a mean ± SD of 12 ± 1 , The latter 9 ± 1mmHg. Both P <