CAJ | 학술논문

目的：我们通过深部研究探讨心脏组织肌肉致密化不全的心脏彩色B型超声的临床诊断和应用价值。方法：从2009至2011年间入住我院的心肌致密不全的22例患者,患者的临床症状主要表现为心慌、胸闷(胸痛)、胸闷气短,神疲乏力,动则尤剧,心悸怔忡,眠少多梦,口干少饮,或伴眩晕耳鸣。其中4例有双下肢轻至重度浮肿,入院后的诊断为扩张性心肌病6例,冠心病10例,6例待查,这些患者将出现不同类型心律失常的心图改变(恶性室性心律失常较常见)。将采用德国西门子公司生产的Vivid6型彩色多普勒超声诊断机对患者进行二维、M型以及多角度和多方位、多切面地对心肌结构层次实时地心脏观察。结果：11例患者超声心动图检查都证实均为左室受不同程度病变的累及,病变累及部位主要为：侧壁合并心尖部、侧壁中下段、心尖部、侧壁合并下壁,左房内径27～64mm,左室内径51～77mm,心肌厚度3.5～6.5mm。8例合并恶性室性心律失常,另有6例合并轻度二尖瓣反流,8例合并严重的三尖瓣反流现象。结论：彩色多普勒超声心动图具有在无症状的早期萌发阶段就可发现心肌结构异常功能无明显异常的特征性病变,那些病变原因模糊有待进一步研究的症状通常主诉为胸痛或早期心脏多普勒超声显示心脏增大的患者应采取紧急治疗措施,对那些致死性的恶性心律失常进行有针对性和预防性的干预,多能明显延长患者的生存时限和生存质量。
목적：아문통과심부연구탐토심장조직기육치밀화불전적심장채색B형초성적림상진단화응용개치。방법：종2009지2011년간입주아원적심기치밀불전적22례환자,환자적림상증상주요표현위심황、흉민(흉통)、흉민기단,신피핍력,동칙우극,심계정충,면소다몽,구간소음,혹반현훈이명。기중4례유쌍하지경지중도부종,입원후적진단위확장성심기병6례,관심병10례,6례대사,저사환자장출현불동류형심률실상적심도개변(악성실성심률실상교상견)。장채용덕국서문자공사생산적Vivid6형채색다보륵초성진단궤대환자진행이유、M형이급다각도화다방위、다절면지대심기결구층차실시지심장관찰。결과：11례환자초성심동도검사도증실균위좌실수불동정도병변적루급,병변루급부위주요위：측벽합병심첨부、측벽중하단、심첨부、측벽합병하벽,좌방내경27～64mm,좌실내경51～77mm,심기후도3.5～6.5mm。8례합병악성실성심률실상,령유6례합병경도이첨판반류,8례합병엄중적삼첨판반류현상。결론：채색다보륵초성심동도구유재무증상적조기맹발계단취가발현심기결구이상공능무명현이상적특정성병변,나사병변원인모호유대진일보연구적증상통상주소위흉통혹조기심장다보륵초성현시심장증대적환자응채취긴급치료조시,대나사치사성적악성심률실상진행유침대성화예방성적간예,다능명현연장환자적생존시한화생존질량。
Objective:To study the heart tissue muscle densification is not complete heart color B ultrasonic clinical diagnosis and application value. Methods:From 2009 to 2011 in our myocardial dense not all 22 patients, patients’ clinical symptoms main show is dismayed, bosom frowsty (chest), asthma, shortness of breath, paroxysmal dyspnea, muscle weakness, poor spirit. Among them, 4 cases had double lower limbs light to severe edema, after admission diagnosis of dilated cardiomyopathy (36 cases), coronary heart disease in 10 cases, 6 cases pending investigation, these patients will appear different types of arrhythmia heart diagram change (malignant ventricular arrhythmia is relatively common). Will use the German Siemens company produces the Vivid6 type color doppler ultrasonic diagnostic machine for patients with two-dimensional, M type and multi-angle and multi-dimensional and section of the real-time heart observation. Results:22 patients echocardiography were confirmed that are left ventricular by different lesions involving the, lesions involving the parts mainly:sidewall merger apex department, side lower part, apex department, sidewall merge inferior wall, left atrial inside 27~64 mm, left interior diameter 51 to 77 mm, myocardial thickness 3.5~6.5 mm. 8 cases merge malignant ventricular arrhythmia, another 6 cases merge light mitral valve reverse flow, 8 cases with severe tricuspid reverse flow. Conclusion:Color doppler echocardiography has no symptoms in the early stage of germination can detect cardiac structure abnormal function have no obvious abnormity characteristic lesions, the reason is not clear symptoms mainly for myocardial pain or heart increase patients early color doppler ultrasonic heart take corresponding treatment measures to prevent lethality arrhythmia and embolism and prolong survival in patients with time limit and quality of life.