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左心室憩室1例并文献复习

Left ventricular diverticulum: case report and review of the literature
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摘要 目的探讨左心室憩室的影像学表现及诊断。方法回顾性分析1例左心室憩室患者的相关临床资料,并复习国内相关文献。结果左心室憩室是一种较为罕见的心脏畸形,临床上多有心悸、胸闷等症状,其超声心动图特征是局部左心室壁变薄,心室腔局限性向外膨出,口径较小,体部较宽且深。通常分为肌型和纤维型两种类型,肌型憩室可保持正常收缩运动但较正常室壁薄,纤维型憩室壁与室壁瘤相似,无收缩运动。结论左心室憩室是一种少见疾病,超声心动图探测对其诊断和分型有着重要意义。 Objective To investigate the characteristic and diagnosis of left ventricular diverticulum. Methods As one left ventrieular diverticulum patient was diagnosed by echocardiography in our hospital,we reviewed and analyzed about published in China. Results Left ventrieular diverticulum is a rare disease of congenital heart malfor- mation, Echocardiographic characteristics of the left ventricular diverticulum is the saceular evagination of the left ventricular wall with the neck of the diverticula being smaller than the body. Left ventficular diverticulum is classified into contractile muscular type and fibrous type, The saccular wall of contractile muscular diverticulum remain a normal mo- tion and is thinner than the normal wall. The saccular wall of the fibrous diverticulum is due to a loss of myocardial thickness,as thin as aneurysm with a dyskinetic motion. Conclusion Left ventricular diverticulum is a rare disease in clinic,echocardiography is very important for diagnosing classifying.
出处 《中国基层医药》 CAS 2008年第10期1639-1640,1762,共3页 Chinese Journal of Primary Medicine and Pharmacy
关键词 心室 憩室 超声心动描记术 临床诊断 Heart ventricules Diverticulum Echocardiography
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