经静脉左心室声学造影对左心室附壁血栓的诊断价值  

Diagnostic value of left ventricle contrast echocardiography by intravenous injection in left ventricular thrombus

作　　者：谢晋国[1] 查道刚[1] 宾建平[1] 刘伊丽[1] 

机构地区：[1]南方医院心内科,广州510515

出　　处：《临床内科杂志》2005年第3期175-176,共2页Journal of Clinical Internal Medicine

摘　　要：目的　用东冠注射液声学造影剂经静脉左心室(左室)进行声学造影,探讨对左室附壁血栓的诊断价值。方法　对 42例前壁心肌梗死(心梗)患者注射声学造影剂 0. 22ml/kg,观察造影前后左室附壁血栓的存在情况。结果　常规超声诊断存在附壁血栓的阳性率仅为 5 /42(11. 9% ),声学造影后超声诊断存在附壁血栓的阳性率为 11 /42(26. 2% ),两者比较差异有显著性(P<0. 05)。结论　左室声学造影使左室附壁血栓非常易于识别。Objective To evaluate the effect of left ventricle contrast echocardiography by intravenous injection of Donguan in left ventricle thrombus.Methods Forty two patients with anterior myocardial infraction underwent left ventricle contrast echocardiography by using 0.22ml/kg Donguan to observe whether the dissolution of left ventricular thrombus improve.Results The positive rates of common echocardiography is 11.9% while that of contrast echocardiography is 26.2%(P<0.05) in the detection of left ventricle thrombus.Conclusion Left ventricle contrast echocardiography makes it easier to identify the left ventricle thrombus.

关 键 词：左室声学造影 心肌梗死 附壁血栓 

分 类 号：R540.4[医药卫生—心血管疾病]