南方医科大学学报2011，Vol.31Issue(2)：344-346,3.
间歇性高容量血液滤过救治ICU病房多器官功能障碍综合征疗效分析
Effect of pulse high volume hemofiltration for treatment of multiple organ dysfunction syndrome
摘要
Abstract
Objective To compare the efficacy of three-dimensional (3D) and two-dimensional (2D) quantitative coronary X-ray angiography (QCA) and visual estimation in the assessment of target vessels. Methods The radiographic data of 60 patients (65 vessel segments) receiving coronary angiography and interventional stent placement were retrospectively analyzed. The area stenosis, diameter stenosis, lesion length, and reference diameter assessed by Medis 3D QCA, Siemens 2D QCA and visual estimation were compared. Results Three-dimensional reconstruction was successfully performed for 65 vessel segments, and 3 target vessel were excluded due to the lack of a second angiographic view for 3D reconstruction. There were significant differences in the assessments of the area stenosis [(73.87±8.98)% vs (79.10±8.06)% vs (83.53±8.19)%, P<0.001], lesion length (28.95±17.31 mm vs 26.20±16.04 mm vs 27.21±16.58 mm, P<0.001), reference diameter (28.95±17.31 mm vs 26.2±16.04 mm vs 27.21±16.58 mm, P<0.001) by 3D QCA, 2D QCA and visual estimation; the diameter stenosis assessed by 3D [(54.21 ±9.48)%] and 2D QCA [(57.84 ± 10.17)%] also differed significantly (P=0.016). Conclusion 3D QCA allows successful three-dimensional reconstruction of the target vessel and restores the actual dimensions of the vessel for a more accurate assessment of coronary artery disease than 2D QCA and visual estimation.关键词
间歇性高容量血液滤过/多器官功能障碍综合征/ICUKey words
three-dimensional reconstruction/ two-dimensional reconstruction/ quantitative coronary angiography/ visual estimation/ X-ray/ target vessel分类
医药卫生引用本文复制引用
李莉,史伟,刘易林,李颖,杨翠华,饶明清,马莲英,邓道喜..间歇性高容量血液滤过救治ICU病房多器官功能障碍综合征疗效分析[J].南方医科大学学报,2011,31(2):344-346,3.基金项目
韶关市医药卫生科研计划项目(Y10024) （Y10024）
