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应用放射性免疫分析方法检测35例左向右分流先天性心脏病人(先心组)血浆心钠素(ANP)水平,结果先心组较对照组明显升高(P<0.01);肺动脉高压者显著高于压力正常者(P<0.05);左心房内径扩大者也明显高于内径正常者(P<0.05)。提示肺循环血容量增多及左心功能状态是影响ANP分泌的主要因素,左心房扩大牵张是直接的影响因素。
The level of plasma atrial natriuretic peptide (ANP) in 35 patients with left-to-right shunt congenital heart disease (congenital heart disease) was detected by radioimmunoassay. The results were significantly higher in the congenital heart group than in the control group (P <0.01) Were significantly higher than those with normal pressure (P <0.05). The diameter of left atrium was also significantly higher than those with normal diameter (P <0.05). Prompted increased blood volume of pulmonary circulation and left ventricular function is the main factor affecting the secretion of ANP, left atrial expansion stretch is the direct impact of factors.