瓣膜腱索断裂（附4例报告及文献复习）  

Rupture of Valvula Chordae Tendineae(Report of Four Cases and Literature Review)

作　　者：李梅兰[1,2] 谢作煊[1,2] 徐宏贵[1,2] 邓晓芬[1,2] 

机构地区：[1]暨南大学医学院附属医院内科 [2]暨南大学医学院病理解剖学教研室

出　　处：《暨南大学学报（自然科学与医学版）》1996年第4期50-53,共4页Journal of Jinan University(Natural Science & Medicine Edition)

摘　　要：通过总结我院１５年来收治的４例瓣膜腱索断裂并复习国内外同期文献认为超声心动图是诊断瓣膜腱索断裂的简便而准确的方法，依病因将腱索断裂分为自发性和继发性，自发性腱索断裂较继发性腱索断裂多见，且主要与腱索发育不良或年老退行性变有关；感染性心内膜炎是继发性瓣膜腱索断裂的主要原因。Echocardiography realized a simple and accurate method through reviewing four cases of ruptured chordae tendineae in our hospital for the past 15 years. According to their causes of ruptures they were classified into spontaneous and secondary group. The spontaneous ruptures group was usually occured in the chordae of post-leaflet of the mitral valve and primarily related to the dysplasia or the aged degeneration. The infections endocarditis was a major cause of the secondary ruptures group.The repair operation or substitutoin of the traumatic valve should be performed as early as possi-ble if the controll of heart failure was imposible.

关 键 词：心瓣膜病 超声心动国科 瓣膜腱索断裂 修补术 

分 类 号：R542.5[医药卫生—心血管疾病] R654.2[医药卫生—内科学]