摘要
目的总结了９例主动脉窦瘤破裂的临床与超声心动图特征。方法用彩色多普勒二维超声心动图诊断９例青年无痛性主动脉窦瘤破裂并经手术证实。结果９例中仅１例有诱因，８例短期内出现心力衰竭表现。超声心动图可以直接显示破口数目、大小、分流及心脏容量负荷过重扩大的征象。结论对青年无痛性主动脉窦瘤破裂，超声心动图是诊断的可靠方法，为手术决策提供依据。
? cases with rupture of Valsalva sinus aneurysm (RVSA) into the right heart were diagnosed by two-dimensional echocardiography (2DE) and colour Doppler flow imaging (CDFI) and confirmed by surgery. All of the 9 cases were young, from 22 to 27 years old. There were no characteristic chest pain. The rupture openings were directly showed by 2DE. The left-to-right shunts were showed by CDFI in double-phase. The sizes of RVSA measured by echocardiography were 06～14cm. By comparison of data with the findings during operation, the correlation coefficient was good (r=084). The associated cardiac abnormalities should be detected carefully on echocardiographic examination. The results indicate that echocardiography is a reliable method in diagnosing RVSA.
出处
《云南医药》
CAS
1998年第2期82-83,共2页
Medicine and Pharmacy of Yunnan
关键词
主动脉窦瘤破裂
超声心动图
Rupture of Valsalva sinus aneurysm Echocardiography
