西南国防医药2013，Vol.23Issue(2)：117-119,3.DOI:10.3969/j.issn.1004-0188.2013.02.001
挤压伤后心室壁运动状态与整体功能转归的临床研究
Clinical research on ventricular wall motion state and turn over of cardiac function after crush injury
摘要
Abstract
Objective To evaluate the changes in the ventricular wall motion state and the whole cardiac function after crush injury by cardiac ultrasound technology. Methods There were thirty seven cases of crush injury after earthquake with 21 male ones and 16 female ones. Multifunctional cardiac ultrasound technology was used to comprehensively evaluate the ventricular wall motion state and changes of the whole cardiac function before and after anti - heart failure. Results The amplitude of left ventricular wall motion significantly weakened before the treatment. At the same time incongruous state of local or wide ranging centripedal contraction and centrifugal relaxation occurred in the short axis section of the left ventricular wall,and even paradoxical motion of the left ventricular wall occurred. One month after the treatment, the concordant state of the patients'ventricular motion was obvious, and the parameters such as the left ventricular ejection fraction(EF) ,the left ventricular fractional shortening(FS) ,etc,were significantly improved(P< 0.01). Before the treatment, the cardiac whole contraction function parameters such as EF,FS,△T, and CO and diastolic function parameters such as PFVE, PFVA, PFVE/PFVA, and PFR all decreased significantly, but after the treatment, all of those parameters were improved(P <0.01). Conclusion Secondary injury of cardiac muscle tissues may be caused by crush injury. The multifunctional echocardiography can objectively and promptly evaluate the secondary cardiac damage caused by crush injury.关键词
挤压伤/室壁运动状态/心功能/超声心动图Key words
crush injury/ventricular wall motion state/cardiac function/echocardiography分类
医药卫生引用本文复制引用
余开选,陶杰,赖小今,宋晓峰,陈重,张晓慧,郭进春,邓旦,廖明松,梁燕..挤压伤后心室壁运动状态与整体功能转归的临床研究[J].西南国防医药,2013,23(2):117-119,3.基金项目
四川省卫生厅基金课题(090009) （090009）
