浙江临床医学
浙江臨床醫學
절강림상의학
ZHEJIANG CLINICAL MEDICAL JOURNAL
2001年
3期
149-150
,共2页
老年性升主动脉瘤%彩色多普勒%超声心动图%高血压病%高血脂症%冠心病
老年性升主動脈瘤%綵色多普勒%超聲心動圖%高血壓病%高血脂癥%冠心病
노년성승주동맥류%채색다보륵%초성심동도%고혈압병%고혈지증%관심병
Ascenging aortic aneurysm Ultrasonography Related factor
目的分析老年性升主动脉瘤的超声表现及相关因素。方法彩色多普勒超声心动图检查了66例老年性升主动脉瘤，并分析了与老年性升主动脉瘤有关的高血压病、高血脂症及冠心病的相关资料。结果66例老年性升主动脉瘤超声表现为升主动脉呈囊形扩张34例，呈梭形扩张32例，管壁均增厚（大于5mm），伴夹层2例，主动脉瓣钙化33例，主动脉管壁钙化20例，伴主动脉瓣关闭不全46例。66例老年性升动脉瘤中61例有高血压病史，占92.4％；52例患高血脂症，占78.8％；伴冠心病40例，占60.6％。结论老年性升主动脉瘤与高血压病、高血脂症、冠心病有关。彩色多普勒超声心动图是诊断老年性升主动脉瘤的有效方法。
目的分析老年性升主動脈瘤的超聲錶現及相關因素。方法綵色多普勒超聲心動圖檢查瞭66例老年性升主動脈瘤，併分析瞭與老年性升主動脈瘤有關的高血壓病、高血脂癥及冠心病的相關資料。結果66例老年性升主動脈瘤超聲錶現為升主動脈呈囊形擴張34例，呈梭形擴張32例，管壁均增厚（大于5mm），伴夾層2例，主動脈瓣鈣化33例，主動脈管壁鈣化20例，伴主動脈瓣關閉不全46例。66例老年性升動脈瘤中61例有高血壓病史，佔92.4％；52例患高血脂癥，佔78.8％；伴冠心病40例，佔60.6％。結論老年性升主動脈瘤與高血壓病、高血脂癥、冠心病有關。綵色多普勒超聲心動圖是診斷老年性升主動脈瘤的有效方法。
목적분석노년성승주동맥류적초성표현급상관인소。방법채색다보륵초성심동도검사료66례노년성승주동맥류，병분석료여노년성승주동맥류유관적고혈압병、고혈지증급관심병적상관자료。결과66례노년성승주동맥류초성표현위승주동맥정낭형확장34례，정사형확장32례，관벽균증후（대우5mm），반협층2례，주동맥판개화33례，주동맥관벽개화20례，반주동맥판관폐불전46례。66례노년성승동맥류중61례유고혈압병사，점92.4％；52례환고혈지증，점78.8％；반관심병40례，점60.6％。결론노년성승주동맥류여고혈압병、고혈지증、관심병유관。채색다보륵초성심동도시진단노년성승주동맥류적유효방법。
Objective To analyze ultrasonography and related factors of ascending aortic aneurysm in the elderly. Methods 66 cases of ascending aortic aneurysm were examined by color－doppler ultrasound instrument, and their clinical data was also reviewed. Results 34 were saccular aneurysm, while 32 were fusiform aneurysm. Among them, 2 had aortic dissection, 33 had calcified aortic valves, 20 had calcified aortic wall and 46 had aortic insufficiency. Most cases had hypertension, hyperlipemia or coronary artery disease history. Conclusion Ascending aortic aneurysm in the elderly was related to Hypertension, hyperlipemia and coronary artery disease, and ultrasonography was an effective diagnostic method.
