摘要
本文用二维超声心动图现察了15例心包缩窄患者的左室与左房后壁形态和声像图特征。结果显示:与其它各组相比,心包缩窄患者,左室与左房后壁间夹角明显缩小(P<0.01).均小于115度;DA-DV明显增大(Pく0.01),DV/DA明显减小(Pく0.05)。声像图特征为:左右心房增大,左右心室正常或缩小,心包膜增厚,心脏活动受限,下腔静脉与肝静脉扩张。本文认为,用二维超声心动图观察左室与左房后壁形态,结合其它声像图特征能对心包缩窄作出难确诊断.
Real-time two-dimensional echocardiography was used to obscrve the characteristics ofsonogram and rhe shapes of left ventricular and atrial posterior walls in 15 patients with pericardiac con-striction.These findings demonstrate;in comparison to other groups,the angles between left ventricularand atrial posterior walls diminish signifieantly in the patients wirh pericardiac constrieton(P<0.01),their values being<145°,DA–DV increase(P<0.01)and DA/DV decrease(P-<0.05)significant-ly,The characteristics of sonogram indicate that both left and right atria enlarged,hoth left and rightventricles decreased,pericardia thicken,activities of hearts limited,venae cava inferior and venae hepati-cae dilated.It is concluded that pericardiac constriction may be accurately diagnosed when real-time two-dimensional echocardiography combinated with other characteristics of sonogram was used for observa-tion of shapes of left ventricular and atrial posterior walls.
作者
孙有刚
郭瑞强
周立明
Sun Ymw-gang(Department of Cardiac Ultrasound,the First Affilated Hosptal of Hube Medical Unrversity)
出处
《中华物理医学杂志》
CAS
CSCD
1992年第4期199-201,共3页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
心包缩窄
超声心动图
心包疾病
pericardiac constricton
two-dimensional echocardiography