风湿性心瓣膜病的2DE分析  

2DE Analysis of Rheumatic Cardiac Valvular Disease

作　　者：张正中[1] 冉隆司[1] 尹立雪[1] 刘跃健[1] 漆自立[1] 杨燕华[1] 

机构地区：[1]四川省人民医院内四科

出　　处：《医学科技》1993年第27期4-7,共4页

摘　　要：本文对1988—1989年期间风湿性心瓣膜病200例进行了二维超声心动图(2DE)分析。结果发现:全组①主动脉内径≥30mm者30人(15％),其中 26人(86.67％)有主动脉瓣病变;②左房内径≥30mm者177人(88.5％),其中伴有房颤者 72人(40.67％),左房内径愈大,房颤发病率愈高;③二尖瓣口面积轻度狭窄者为70％,中度狭窄者约20％,重度狭窄者约10％,④心功能测定,左室收缩功能明显减退者约占1/4;伴有房颤者心功能明显减退,与无房颤者比较有非常显著差异(P<0.01)。200 cases of rheumatic cardiac valvular disease in 1988～1989 were analysed with two-dimensional echocardiography (2DE). The results showed: ①the 30 cases(15 %)diameter of aorta≥30mm had, in whom 26 cases (86. 67%) accompanied withaortic valvular lesion; ②the diameter of left atrium≥30mm, 177 cases (88. 5%)had, in whom 72 cases (40. 67%) accompanied with atrial fibrillation, and the largerthe left atrial diameter, the higher the morbidity of atricl fibrillation1 ③the cases ofslight stenosis of mitral orifice were 70%, moderate were 20%, and severe were10%; ④ in heart function assay, the cases of systolic function of left ventricledecreased about were 1/4, and the heart function decreased markedly whenaccompanied with atrial fibrillation. The difference in heart fanction between bothgroups with and without atrial fibrillation was very significant (P<0. 01)

关 键 词：风湿性 心脏瓣膜疾病 超声心动图 

分 类 号：R542.5[医药卫生—心血管疾病]