CAJ | 학술논문

本文通过对经手术证实的 7例青少年正常心脏感染性心内膜炎 (IE)经胸超声心动图表现进行分析，发现青少年正常心脏 IE赘生物的特异性高；位于瓣缘的赘生物易被识别，而位于腱索断端的较小赘生物易被漏判。对于青少年正常心脏突发瓣叶穿孔及 /或支持结构断裂者应综合考虑，高度警惕 IE。多普勒超声能准确判定 IE引起的瓣膜损伤程度，客观地反映病理生理改变。
본문통과대경수술증실적 7례청소년정상심장감염성심내막염 (IE)경흉초성심동도표현진행분석，발현청소년정상심장 IE췌생물적특이성고；위우판연적췌생물역피식별，이위우건색단단적교소췌생물역피루판。대우청소년정상심장돌발판협천공급 /혹지지결구단렬자응종합고필，고도경척 IE。다보륵초성능준학판정 IE인기적판막손상정도，객관지반영병리생리개변。
This paper attempts to make an analysis of the echocardiogram display of the infectious endocarditis (IE) in 7 cases normal cardiac of juveniles.It is found that there is a high specificity of neoplasm in normal cardiac IE of juveniles.The neoplasm located on the valve edge is easy to be distinguished,but the smaller neoplasm located on broken end of chordae tendineae is difficult to be distinguished and may be omitted.It should be considered comprehensively for the proruption of the valve perforation in normal cardiac of juveniles and/or patient with supporting broken structure to keep high vigilant against IE.The Doppler supersound can determine precisely the valve damage caused by IE,and reflect the physiopathological changes objectively.