超声心动图对慢性肾功能衰竭心脏病变的分析  

The Investigation of Cardiac lesion in chronic renal failure detected by echocardiography

作　　者：王玉婷[1] 黄向阳[1] 单风仙[1] 袁奇[1] 

机构地区：[1]安徽医科大学附属省立医院,合肥230001

出　　处：《安徽卫生职业技术学院学报》2008年第5期18-19,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:应用超声心动图探讨慢性肾功能衰竭患者心脏病变情况。方法:选择62例慢性肾功能衰竭患者进行超声心动图检查,并测量心脏腔径及心功能参数。结果:本组慢性肾功能衰竭患者心脏病变55例发生率为88.7%,表现为左室扩大39例(62.9%),左房扩大37例(59.7%),左室后壁增厚43例(69.4%),室间隔增厚39例(62.9%),左室舒张功能减低47例(75.8%),心包积液28例(45.2%),二尖瓣返流34例(54.8%),主动脉瓣返流29例(46.8%),肺动脉高压12例(19.4%)。结论:慢性肾功能衰竭所致的心脏病变发生率极高,且表现多样,及时应用超声心动图检测心脏,对临床早期诊断、防治及预后具有重要的指导意义。Objective：To study cardiac lesions in patients with chronic renal failure by echocardiography. Methods： 62 cases of chronic renal failure were selected to be measured the morphologic and functional parameters by echocardiography. Results： The incidence rate of cardiac lesions was 88.7%（55/62）.The lesions showed many kinds, such as 39 cases （62.9%） showed left ventricular dilation , 37 cases （59.7%） showed left atrium dilation,43 cases （69.4%）showed left ventricular posterior wall thickening,39 cases （62.9%）showed interventricular septum thickening, 47 cases （75.8%） diastolic function decreased, 28 cases （45.2%）showed pericardial effusion,34 cases （54.8%）showed mitral regurgitation,29 cases （45.8%） showed arortic regurgitation, 12 cases （19.4%） showed pulmonary hypertension. Conclusion： The incidence rate of cardiac lesions in chronic renal failure was very high and of all kinds. Using echocardiography timely was important to guide early clinical diagnosis, prevention and treatment and prognosis.

关 键 词：超声心动图 慢性肾功能衰竭 心脏病变 

分 类 号：R692.5[医药卫生—泌尿科学]