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1、萬方數(shù)據(jù)天津醫(yī)科大學(xué)碩士學(xué)位論文Abstractobjecru:Toinvestigatethedifferentialdiagnosicvalueofthechangesinlungultrosonograghy(LUS)ofdyspneaandevaluatetheeffectsofLUSonthecardiacfunctionofpatientswithheartfailure.Methods:Randomselectatotalof88patientswithdyspneaadmittedintheEmergencyCent
2、erofTia坷inMedicalUniversityGeneralHospitalfromNovember2012toJanuary2014andwhowithlungcancer,interstitiallungdiseaseandrenalinsufficiencywereexcluded.AnpatientsunderwentLUSin6hourstocountultrasoundlungcomets(ULCs)andweredividedintoULCspositivegroup(ULCs>5)(groupA,52case
3、s)andULCsnegativegroup(ULCs≤5)(groupB,36cases).ThenaccordingtothecharacteristicsofBline,thegroupApatinentsweredividedintogroupAl(21casesofB7line)andgroupA2(31casesofB3line)DescriptionthegroupAanditssubgroupandthegroupBdistributionofdisease,andanalysisofeachdiseaseaptho
4、physiologytheoryofchangesinLUSanddifferentialdiagnosis.AfterexclusionofpneumoniaandARDSpatients,thepatientswithcoronaryarterydiseaseinthisstudyof36patientsweredividedintogroupII,IIl,IVaccordingtotheNYHAclassification,thenselected10casesofhospitalizedpatientswithNYHAIle
5、vel(excludinglungcancer,interstitiallungdisease,renalinsufficiency)asthegroupI.舢lgroupswerestudiedbyLUStocountULCs,leftventricularejectionfraction(EF),theratioofearlydiastolicmitralinflowvelocitytoearlydiastolicvelocityofthemitralannulus(E/Ea),leftatrialdiameter(LAD),l
6、eftveutricularenddiastolicdiameter(LVEDD)andsystolicpulmonaryarterialpressure(SPAP)bytransthoracicechocardiographyexamination,andmeasuremeutNT-proBNPlevels.Comparingrespectively謝mthenumberofULCs,thevalueofEF,E/E如LAD,LVEDD,SPAPandthelevelsofNT-proBNPamongthefourgroup,th
7、enanalysethecorrelationbetweentheULCsandEF,E/Ea,LAD,LVEDD,NT-proBNPlevels.Result:EachULCspositivepatientsrequiredinspectiontimeis3-5minutes,averagelessthan4minutes.EachULCsnegativepatientsrequiredinspectiontimeis1—3minutes,averagelessthan2minutes111edistributionofgroup
8、A:21casesofacutemyocardialinfarction(40.38呦,llcasesofbacterialpneumonia(21.15%),10casesofacutemyocarditis(19.23%),2ca