中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
12期
1937-1937,1939
,共2页
血性心肌病%心力衰竭%临床诊断%PCI%冠脉造影
血性心肌病%心力衰竭%臨床診斷%PCI%冠脈造影
혈성심기병%심력쇠갈%림상진단%PCI%관맥조영
Ischemic cardiomyopathy%Heart failure%Clinical diagnosis%Percutaneous coronary intervention (PCI)%Coronary angiography
目的：研究分析血性心肌病致心力衰竭的临床诊断方式和治疗方法。方法：回顾性分析2010年1月～2012年6月期间,我院收治的112例缺血性心肌病致心力衰竭患者的临床资料,所有患者均符合美国心脏病学会的诊断与治疗指南中的诊断标准。对所有患者采用常规、胸片、心肌酶、冠状动脉造影、心电图等相关检查。结果：112例患者的左湿射血分数为18～40%,左室舒张末期内径为56～80毫米。其中50例单质病变,42例两支病变,10例三支病变。所有患者均采用PCI和药物治疗,治疗后20例患者如病情加重,其余患者均获得不同程度的缓解。结论：缺血性心肌病容易误诊为扩张型心肌病,加强对患者的临床诊断,并采取针对性的治疗措施对提高患者的治疗效果和生活质量至关重要。
目的：研究分析血性心肌病緻心力衰竭的臨床診斷方式和治療方法。方法：迴顧性分析2010年1月～2012年6月期間,我院收治的112例缺血性心肌病緻心力衰竭患者的臨床資料,所有患者均符閤美國心髒病學會的診斷與治療指南中的診斷標準。對所有患者採用常規、胸片、心肌酶、冠狀動脈造影、心電圖等相關檢查。結果：112例患者的左濕射血分數為18～40%,左室舒張末期內徑為56～80毫米。其中50例單質病變,42例兩支病變,10例三支病變。所有患者均採用PCI和藥物治療,治療後20例患者如病情加重,其餘患者均穫得不同程度的緩解。結論：缺血性心肌病容易誤診為擴張型心肌病,加彊對患者的臨床診斷,併採取針對性的治療措施對提高患者的治療效果和生活質量至關重要。
목적：연구분석혈성심기병치심력쇠갈적림상진단방식화치료방법。방법：회고성분석2010년1월～2012년6월기간,아원수치적112례결혈성심기병치심력쇠갈환자적림상자료,소유환자균부합미국심장병학회적진단여치료지남중적진단표준。대소유환자채용상규、흉편、심기매、관상동맥조영、심전도등상관검사。결과：112례환자적좌습사혈분수위18～40%,좌실서장말기내경위56～80호미。기중50례단질병변,42례량지병변,10례삼지병변。소유환자균채용PCI화약물치료,치료후20례환자여병정가중,기여환자균획득불동정도적완해。결론：결혈성심기병용역오진위확장형심기병,가강대환자적림상진단,병채취침대성적치료조시대제고환자적치료효과화생활질량지관중요。
Objective:To investigate and analyze clinical diagnostic methods and treatments of heart failure caused by ischemic cardiomyopathy. Methods:Clinical data on 112 patients with heart failure caused by ischemic cardiomyopathy in our hospital between January 2010 and June 2012 were retrospectively analyzed. All patients met the diagnostic criteria in American Heart Association (AHA) Heart Failure Diagnosis and Treatment Guidelines. Medical examinations such as routine blood test, myocardial enzyme determination, blood biochemical test, troponin determination, chest X-ray, electrocardiogram (ECG), coronary angiography and color Doppler echocardiography were performed for all patients. Results:The left ventricular ejection fraction and left ventricular internal diameter at end-diastole of 112 patients were 18~40%and 56~80 millimeters respectively. Among these patients, 50 cases, 42 cases and 10 cases had single-vessel disease, double-vessel disease and triple-vessel disease, respectively. All patients underwent percutaneous coronary intervention (PCI) and medication. After treatment, 20 patients were sicker than before, and the others were in different degrees of remission. Conclusion:Ischemic cardiomyopathy is easily misdiagnosed as dilated cardiomyopathy. To strengthen clinical diagnosis and to perform targeted treatments are essential to improve the treatment effect and quality of life for patients.
