中华劳动卫生职业病杂志
中華勞動衛生職業病雜誌
중화노동위생직업병잡지
CHINESE JOURNAL OF INDUSTRIAL HYGIENE AND OCCUPATIONAL DISEASES
2014年
12期
931-933
,共3页
矽肺%肺心病%心电图%组织多普勒成像
矽肺%肺心病%心電圖%組織多普勒成像
석폐%폐심병%심전도%조직다보륵성상
Silicosis%Pulmonary heart disease%Electrocardiography%Tissue Doppler imaging
目的 探讨组织多普勒成像在矽肺并发慢性肺源性心脏病患者右心室肥大的诊断价值.方法 将本院50例矽肺并发慢性肺源性心脏病患者,分别行常规心电图和组织多普勒成像检查,比较两种方法右心室肥大检出率.结果 入组的50例矽肺并发慢性肺源性心脏病患者经心电图检查,发现右心室肥大患者19例,检出率为38.0％,而组织多普勒成像技术检查发现右心室肥大患者29例,检出率为58.0％,组织多普勒成像技术对矽肺并发慢性肺源性心脏病患者右心室肥大检出率显著高于心电图,差异有统计学意义(x2=4.006,P=0.036).结论 多普勒超声心动图更有利于矽肺并发慢性肺源性心脏病右心室心肌肥大的诊断,可为矽肺合并肺心病的临床治疗提供可靠的诊断依据.
目的 探討組織多普勒成像在矽肺併髮慢性肺源性心髒病患者右心室肥大的診斷價值.方法 將本院50例矽肺併髮慢性肺源性心髒病患者,分彆行常規心電圖和組織多普勒成像檢查,比較兩種方法右心室肥大檢齣率.結果 入組的50例矽肺併髮慢性肺源性心髒病患者經心電圖檢查,髮現右心室肥大患者19例,檢齣率為38.0％,而組織多普勒成像技術檢查髮現右心室肥大患者29例,檢齣率為58.0％,組織多普勒成像技術對矽肺併髮慢性肺源性心髒病患者右心室肥大檢齣率顯著高于心電圖,差異有統計學意義(x2=4.006,P=0.036).結論 多普勒超聲心動圖更有利于矽肺併髮慢性肺源性心髒病右心室心肌肥大的診斷,可為矽肺閤併肺心病的臨床治療提供可靠的診斷依據.
목적 탐토조직다보륵성상재석폐병발만성폐원성심장병환자우심실비대적진단개치.방법 장본원50례석폐병발만성폐원성심장병환자,분별행상규심전도화조직다보륵성상검사,비교량충방법우심실비대검출솔.결과 입조적50례석폐병발만성폐원성심장병환자경심전도검사,발현우심실비대환자19례,검출솔위38.0％,이조직다보륵성상기술검사발현우심실비대환자29례,검출솔위58.0％,조직다보륵성상기술대석폐병발만성폐원성심장병환자우심실비대검출솔현저고우심전도,차이유통계학의의(x2=4.006,P=0.036).결론 다보륵초성심동도경유리우석폐병발만성폐원성심장병우심실심기비대적진단,가위석폐합병폐심병적림상치료제공가고적진단의거.
Objective To investigate the value of tissue Doppler imaging (TDI) in the diagnosis of right ventricular hypertrophy in patients with silicosis complicated by chronic pulmonary heart disease.Methods A total of 50 cases of silicosis complicated by chronic pulmonary heart disease in our hospital underwent conventional electrocardiography (ECG) and TDI.The detection rates for right ventricular hypertrophy by two methods were compared.Results Of 50 cases of silicosis complicated by chronic pulmonary heart disease,19 were diagnosed with right ventricular hypertrophy by ECG,with a detection rate of 38.0％; 29 were diagnosed with right ventricular hypertrophy by TDI,with a detection rate off 58.0％.Statistical analysis suggested that TDI leads to a significantly higher detection rate for right ventricular hypertrophy in patients with silicosis complicated by chronic pulmonary heart disease (x2=4.006,P=0.036).Conclusion Both TDI and ECG can be used for detecting right ventricular hypertrophy in patients with silicosis complicated by chronic pulmonary heart disease,but the detection rate is higher when TDI is employed.In addition,ECG cannot directly reflect the increase in pulmonary artery pressure.Therefore,TDI is more suitable for the diagnosis of right ventricular hypertrophy in patients with silicosis complicated by chronic pulmonary heart disease and provides a strong diagnostic basis for the clinical treatment of silicosis complicated by pulmonary heart disease.
