中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2009年
23期
2158-2159
,共2页
心房颤动%心房%肥大,左心室
心房顫動%心房%肥大,左心室
심방전동%심방%비대,좌심실
Atrial fibrillation%Hear atrium%Hypertrophy,left ventricular
目的 探讨心房纤颤(房颤)的类型与左心房增大的关系.方法 选择100例房颤患者,按临床发生房颤的持续时间分类,<7 d者为阵发性房颤(30例),≥7 d者为持续性房颤(70例).患者均行超声心动图检查,测定左心房内径、左心室舒张末内径及左心室射血分数(EF).结果 阵发性房颤患者左心房内径、左心室舒张末内径及左心室EF分别为(36.5±4.5)mm、(47.4±5.2)mm和(57.2±7.1)%,持续性房颤患者分别为(44.8±6.0)mm、(51.2±5.4)mm和(44.6±0.6)%,两组患者左心房内径及左心室舒张末内径间差异有统计学意义(P<0.05).结论 持续性房颤患者左心房内径及左心室舒张末内径显著大于阵发性房颤者,可见房颤的类型与左心房的大小有关.
目的 探討心房纖顫(房顫)的類型與左心房增大的關繫.方法 選擇100例房顫患者,按臨床髮生房顫的持續時間分類,<7 d者為陣髮性房顫(30例),≥7 d者為持續性房顫(70例).患者均行超聲心動圖檢查,測定左心房內徑、左心室舒張末內徑及左心室射血分數(EF).結果 陣髮性房顫患者左心房內徑、左心室舒張末內徑及左心室EF分彆為(36.5±4.5)mm、(47.4±5.2)mm和(57.2±7.1)%,持續性房顫患者分彆為(44.8±6.0)mm、(51.2±5.4)mm和(44.6±0.6)%,兩組患者左心房內徑及左心室舒張末內徑間差異有統計學意義(P<0.05).結論 持續性房顫患者左心房內徑及左心室舒張末內徑顯著大于陣髮性房顫者,可見房顫的類型與左心房的大小有關.
목적 탐토심방섬전(방전)적류형여좌심방증대적관계.방법 선택100례방전환자,안림상발생방전적지속시간분류,<7 d자위진발성방전(30례),≥7 d자위지속성방전(70례).환자균행초성심동도검사,측정좌심방내경、좌심실서장말내경급좌심실사혈분수(EF).결과 진발성방전환자좌심방내경、좌심실서장말내경급좌심실EF분별위(36.5±4.5)mm、(47.4±5.2)mm화(57.2±7.1)%,지속성방전환자분별위(44.8±6.0)mm、(51.2±5.4)mm화(44.6±0.6)%,량조환자좌심방내경급좌심실서장말내경간차이유통계학의의(P<0.05).결론 지속성방전환자좌심방내경급좌심실서장말내경현저대우진발성방전자,가견방전적류형여좌심방적대소유관.
Objective To study the relationship between left atrial size and atrial fibrillation. Methods Totally 100 patients with atrial fibrillation, according to the duration of clinical atrial fibrillation, were classified as paroxysmal atrial fibrillation group (n=30, the duration<7 days) and persistent atrial fibrillation (n=70, the duration≥7 days. The parameters of left atrial diameter (LAD), left ventricular end diastolic diameter (VDD) and left ventricular ejection fraction (LVEF) were measured in both groups by echocardiography. Results The values of LAD, VDD and LVEF were respectively (36.5±4.5)mm, (47.4±5.2)mm and (57.2±7.1)% in patients with paroxysmal atrial fibrillation, and (44.8±6.0)mm, (51.2±5.4)mm and (44.6±0.6)% in patients with persistent atrial fibrillation, with significant differences in LAD and VDD between the two (P<0.05). Conclusion LAD and VDD are remarkably larger in patients with paroxysmal atrial fibrillation than in patients with persistent arterial fibrillation, so left atrial size is related with type of atrial fibrillation.
