X线第一前肋间肺静脉直径与肺毛细血管嵌压的关系及对心力衰竭诊断.pdf

中国介入影 像与 治疗学 2008 年第 5 卷第 4 期 Chi n J I nt erv I maging Ther ,2008 , Vol 5 , No 4 ·273 · Correlation between pul monary vei n dia meter in the first anterior i nterspace and pul monary capillary wedge pressure and clinical significance 1* 2 1 1 1 2 Z HAO Si - qi n , YOU Chang-j iu , HU Yong- mei , LI Qiu , NI E Xi ao-li , Z HA NG Zong-j i an , 1 1 1 1 LI U Xi ao-r on g , WA NG Mi an , Z HA NG Wen- yong , WU Tao ( 1. De part ment of Cardiol ogy , 2 . Depart ment of Radiol ogy , the Second Peopl e’s Hospit al o f Chen g du , Chen g du 6 100 17 , Chi na) ABSTRACT Obj ective To eval uate correl ati on bet ween pul monary vei n di ameter i n t he first anteri or i nterspace ( PV D- FAI) and pul monary capillary wedge press ure ( PCWP) and their cli ni cal si gnificance . Methods PC WP was measured wit h a Swan- Ganz i n 195 patients wit h presenti ng dysnpea and a posteroanteri or chest radi ograph was obtai ned by usi ng a 1.8 m target-to-fil m distance i n all patients , i ncl udi ng t he group of nor mal healt h ( n = 67) . PV DFAI was measured accordi ng to standard techniques bli nded to PCWP results . PCWP 12 mmHg was chosen as t he gol den standard for l eft ventric ular dysf uncti on i n t he st udy . The subj ects were divi ded i nt o 2 groups by t he criteria , one group wit h dyspnea due to congestive heart fail ure ( C HF ,