已经公开出版的书刊上对先天性和获得性心脏病患者左室功能研究较右室功能研究多得多。然而,近来人们对右室负荷、右室功能障碍以及失代偿的纠正引起了足够的重视。由于研究技术上的改进,使人们对右室在维持循环中作用的认识得到进一步的提高。此外,右室功能不全也影响急、慢性左室功能障碍患者和先天性心脏病患者手术前、后的生存率。 1 为何右室功能的研究一直得不到重视? 右室被忽视有许多原因,而主要是由于它的形状复杂,其大小和功能的精确评价困难。然而,现代影像学技术大大克服了这一问题。另一个重要被广泛接受的原因是因为右室对血液循环几乎没有必要,而更多注意力被集中放在对左室功能重要性的 Published and published books on left ventricular function in patients with congenital and acquired heart disease study much more than right ventricular function. Recently, however, attention has been paid to the correction of right ventricular load, right ventricular dysfunction, and decompensation. As a result of technical advances in research, people’s understanding of the role of the right ventricle in maintaining circulation has been further improved. In addition, right ventricular dysfunction also affects the survival rate of patients with acute and chronic left ventricular dysfunction and congenital heart disease before and after surgery. 1 Why right ventricular function has not been valued? There are many reasons why the right ventricle is neglected, but mainly because of its complex shape and its precise evaluation of size and function. However, modern imaging techniques have largely overcome this problem. Another important reason is widely accepted because the right ventricle is almost not necessary for blood circulation and more attention is focused on the importance of left ventricular function