Objective l . to investigate the mechanism of the different influence of the intrathoracic pressure change ( itpc ) on the two ventricular fillings and the motion of interventricular septum 目的1建立模擬實驗?zāi)P?,觀察胸壓變化對左、右心充盈及室間隔運動的影響,從力學(xué)角度驗證我們提出的呼吸影響心功能機(jī)制新假說; 2
3 . effects of intrathoracic pressure change on the hemodynamics and the motion of ivs in patients with pe to observe the respiration - related hemodynamic changes and the ivs motion in 10 patients with pe with or without cardiac tamponade using echocardiographic technique . 4 心包積液時呼吸對血流動力學(xué)及室間隔運動的影響用超聲心動圖觀察心包積液伴有或不伴有心包填塞患者川例的血流動力學(xué)改變及室間隔隨呼吸運動倩況,計算rvi值,并與正常人進(jìn)行對照。
With the pressure in the simulated right ventricle ( srv ) and simulated left ventricle ( slv ) kept constant ( standard pressure condition for model iii ) , each step of pressure decrease in the scc from 0 mmhg to - 5 mmhg , the sivs moved leftwards ( to the slv direction ) in a corresponding position and from 0 mmhg to + 5 mmhg , the sivs swung left - and rightwards at amplitude of 2 . 2 mm . effects of intrathoracic pressure change on the motion of ivs under the same simulated respiratory 胸壓變化對室間隔運動的影響當(dāng)模擬右心室和左心室壓力一定時,模擬胸腔內(nèi)壓力每一次下降(從到一smmhg人模擬室間隔均向左側(cè)移位;當(dāng)模擬胸腔內(nèi)壓力相同,隨模擬右心室壓力的升高,模擬室間隔的運動幅度增大,當(dāng)模擬右心室壓力升高到與模擬人心室相等時,模擬室間隔的運動幅度達(dá)最大。
Simulated experiments effects of intrathoracic pressure change on hemodynamics model i and ii tests demonstrated that the same itpc had different actions on the simulated ventricular fillings . the itpc would not change the pressure in the simulated right heart but its volume while it changed the pressure in the simulated left heart without direct influencing on its volume 模擬實驗胸壓變化對血流動力學(xué)的影響3第四軍醫(yī)大學(xué)博士學(xué)位答辯論文外周靜脈壓和模擬胸腔壓力變化相同時所引起的右心室容積的變化是相同的;當(dāng)兩者同時同步變化時,右心室容積無變化。
Simulated experiments effects of intrathoracic pressure change on hemodynamics three models that simulated the anatomic arrangement of the venous return systems and chest cavity were established to investigate the hydromechanic principle of the different influence of the itpc on the ventricular fillings . effects of intrathoracic pressure change on the motion of interventricular septum ( ivs ) acuson ' s sequoia 512 ultrasonographic system was used in this study to record the m - mode and two - dimensional cineloop images of the simulated interventricular septum movement with different intrathoracic pressure changes 指標(biāo)觀測觀察并記錄外周靜脈壓和模擬胸腔壓力分別變化及同時變化時,模擬右心室的容積變化;觀察并記錄模擬胸腔壓力變化時,模擬肺血管床和左心室內(nèi)壓力的變化;用sequoia512超聲心動圖儀觀察胸腔壓力變化對模擬心臟室間隔運動的影響。