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心包缩窄的二维超声心动图 被引量:2

Characteristics of Ultrasound Imaging in Pericardiac Constriction
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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
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  • 1张连仲,张爱宏,裘佩春,赵晓兰,冯春丽.肝静脉血流多普勒频谱变化评估肺动脉高压[J].中华超声影像学杂志,1995,4(1):15-18. 被引量:10
  • 2Marangoni S,Scalvini S,Schena M,et al.Right ventricular diastolic function in chronic obstructive lung disease.Eur Respir J,1992,5:438-443
  • 3Klein AL,Hatle LK,Burstow DJ,et al.Comprehensive Doppler ass-essment of right ventricular diastolic function in cardiac amyloidosis.J Am Coll Cardiol,1990,15:99-108
  • 4Lewis BS.Real time two-dimensional echocardiography in constri-ctive pericarditis.Am J Cardiol,1982,49(5):1 789-1 793
  • 5Otto CM.Textbook of clinical echocardiography.2nd edition.Phila-delphia.W.B.saunders company.2000.222-224
  • 6  〔1〕Lewis BS.Real time two dimensionalechocardiography in constrictive pericarditis.Am J Cardiol,1982,49(5):1789~1793.
  • 7张连仲,赵冰,张慧君.缩窄性心包炎心脏几何形态的二维超声心动图特征[J].中国临床医学影像杂志,2000,11(2):99-100. 被引量:4

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