彩色多普勒超声心动图对酒精性肝炎及酒精性肝硬化患者心脏检测分析

Detection andAnalysis Heart with color Doppler chocardiography among alcoholic hepatitis and alcoholic cirrhosi

目的探讨酒精性肝病患者心脏多普勒超声特征。方法酒精性肝炎患者82例,酒精性肝硬化患者161例,接受彩色多普勒超声心动图检查,比较两组患者心脏功能。结果酒精性肝硬化组LVDs为31.9±7.7,显著高于酒精性肝炎组29.9±3.0,P<0.05;酒精性肝硬化组EF(%)和FS(%)显著低于酒精性肝炎组(64.4±12.7,36.3±9.7,vs.70.7±5.1,40.3±4.3,P<0.01)。结论心脏超声形态学和心脏超声功能学检测,可为临床对酒精性肝损伤的诊断和鉴别提供科学依据。

Objective To explore the characteristics of Cardiac Doppler ultrasound among alcoholic liver disease. Methods 82 cases of alcoholic hepatitis and 161 cases of alcoholic cirrhosis received color Doppler echocardiography. The results were compared in two groups. Results LVDs of alcoholic cirrhosis group were 31.9＋7.7, significantly higher than the alcoholic hepatitis group 29.9＋3.0, P〈0.05, EF （%） and FS （%） of alcoholic cirrhosis group were significantly lower than alcoholic hepatitis （ 64.4 ± 12.7,36.3 ±9.7, vs. 70.7 ± 5.1,40.3 ±4=- 4.3, P〈0.01 ） . Conclusion Echocardiography might provide scientific basis for the diagnosis and differential of clinical alcoholic liver injury.