哈勒指数和心肺功能之间是否存在关系?在患有腔挖掘的儿童中?
Ozgur Katrancioglu1, Mehmet Ozgel1, Feyza Inceoglu2
1Department of Thoracic Surgery, Turgut Özal University Faculty of Medicine, Malatya, Türkiye.
Turk gogus kalp damar cerrahisi dergisi
|September 4, 2023
概括
这项研究揭示,高高的哈勒指数在乳房挖掘器与儿童的肺功能减弱和左心室功能受损相关. 胸壁变形的严重程度增加会对心肺健康产生负面影响.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 胸部外科手术 胸部外科手术
- 肺部病理学 肺部病理学
背景情况:
- 胸部挖掘 (pectus excavatum) 是一种先天性胸壁形,影响心肺功能.
- 哈勒指数是一个常见的衡量乳腺挖掘症严重性的指标.
- 与哈勒指数相关的心肺功能系统评估对于了解疾病影响至关重要.
研究的目的:
- 调查儿科患者的乳房挖掘症严重程度 (哈勒指数) 和心肺功能之间的关系.
- 为了比较肺功能测试和心声回声检测结果与不同程度的 pectus excavatum.
主要方法:
- 对31名患有乳腺挖掘症的儿科患者的回顾性分析 (2017年9月 - 2018年6月).
- 根据哈勒指数 (<2.5,2.5-3.19,>3.2) 将患者分为三个组.
- 评估包括肺功能测试 (呼吸计) 和心声扫描 (左心室功能,门功能).
主要成果:
- 在哈勒指数和强迫生命能力 (FVC) 和1秒强迫呼气量 (FEV1) 之间观察到负相关性.
- 增加的哈勒指数与FVC和FEV1的统计学显著下降有关 (p<0.017).
- 射出分数在各组之间显示出显著的差异 (p<0.001),随着哈勒指数的增加而下降.
结论:
- 胸腔挖掘的严重程度与肺功能有负相关性.
- 左心室功能可能会受到乳房挖掘的严重性影响.
- 在儿童中,胸腔挖掘症的严重程度和整体心肺功能之间存在显著的关系.
相关概念视频
Physical Assessment of the Respiratory Tract II: Inspection
335
Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration...
Chest Configuration
The chest configuration...
335
Pulmonary Function Tests
365
Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
365
Cardiomyopathy III: Hypertrophic Cardiomyopathy
16
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
16
Imaging Studies for Cardiovascular System III: X-Ray
216
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
216
Respiratory System Abnormal Finding I: Inspection and Percussion
307
Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
307
Pneumothorax-II
196
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
196


