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早期诊断肺心病对于治疗及预后均有重大意义。当右室明显肥大时,诊断困难较少,但心脏已出现明显的器质性变化。若能在肺心病临床第一阶段——肺动脉高压期得到诊断,则能及早指导防治。目前,国内外认为此期只能用心导管测压诊断。我组对31例肺气肿患者进行了右心导管、肺功能、血液气体、心电图、X线、超声心动图及心电向量检查,试图探索此期的相应变化,寻求心导管以外的诊断可能性。报告如下。
Early diagnosis of pulmonary heart disease for the treatment and prognosis are of great significance. When the right ventricular hypertrophy significantly less diagnostic difficulties, but the heart has been a significant organic changes. If the clinical stage of pulmonary heart disease - pulmonary hypertension period to be diagnosed, it can guide the prevention and treatment as soon as possible. At present, at home and abroad think this period can only be cardiac catheterization pressure diagnosis. My group of 31 patients with emphysema right heart catheterization, pulmonary function, blood gas, electrocardiogram, X-ray, echocardiography and ECG vector examination, trying to explore the corresponding changes in this period, to seek outside the catheter may be diagnosed Sex. The report is as follows.