多谱勒超声心动图诊断感染性心内膜炎的价值  

The Diagnostic Significance of Doppler Echocardiography in Patients with Infective Endocarditis

作　　者：于波[1] 胡健[1] 曾定尹[1] 蒋丹宇[1] 崔国芳[1] 郭兴平[1] 

机构地区：[1]中国医科大学第一临床学院循环内科,沈阳高中压阀门厂职工医院内科,沈阳铁路局沈阳医院

出　　处：《中国医科大学学报》1996年第2期163-165,共3页Journal of China Medical University

摘　　要：作者对１０５例感染性心内膜炎（Ｉｎｆｅｃｔｉｖｅｅｎｄｏｃａｒｄｉｔｉｓ，ＩＥ）患者的多谱勤超声心动图（Ｄｏｐｐｌｅｒｅｃｈｏｃａｒｄｉｏｇｒａｐｈｙ，ＤＥＣ）结果与临床表现进行分析，探讨ＤＥＣ在ＩＥ诊断中的价值。结果：ＩＥ的主要病因为风心病和先心病，占７２．４％，赘生物阳性率６２．９％。有无赘生物与血培养结果、栓塞及死亡率无相关性，但有赘生物者心衰发生率高，且左心系统赘生物伴心衰者死亡率高。赘生物并瓣膜脱垂者并发症发生率高。ＤＥＣ在ＩＥ诊断中不仅提供病因病理诊断，还能对并发症的预后代判断，有较高的应用价值。ne hundred and five patients with infective endocarditis were examined with Doppler echocardio-graphy.The result showed that most causes of the patients were with rheumatic and congenital heartdisease (72.4%).Vegetation(V)rate was 62.9%, mainly in valvular disease,The existence of V didnot predict the complications and death, but the coexistence of V and valvular prolapse significantlysuggested poor prognosis. Left valvular prolapse had high rate of heart failure and death.In addition,the morphology of V could be predictive of the prognosis and complications.

关 键 词：心内膜炎 超声心电图 诊断 

分 类 号：R542.410.4[医药卫生—心血管疾病]