便携式超声心动图仪在诊治急性发作性呼吸困难中的应用  

Clinical Application of Portable Echocardiography System in Acute Paroxysmal Dyspnea

作　　者：何晓雷 

机构地区：[1]北京延庆县医院心内科,102100

出　　处：《医药世界》2009年第9期490-492,共3页Medicine World

摘　　要：目的:探讨便携式超声心动图仪在诊治急性发作性呼吸困难中的应用价值。方法:分析60例急性发作性呼吸困难患者的床边心脏超声检查资料,同时完成便携式超声心动图仪和传统心脏超声仪检测的45例患者资料进行分析。结果:45例患者2种心脏超声仪检测的二维成像符合率达100%。60例患者中,经心脏超声证实临床诊断28例(46.7%),纠正临床诊断13例(21.7%),经心脏超声协助诊断9例(15.0%),其他10例(16.7%)。便携式超声心动图仪能即刻诊断心包积液,实时监护心包穿刺术的进行和监测积液量的变化。结论:便携式超声心动图仪检查能为急性发作性呼吸困难的诊治提供快速、明确的诊断信息,能参与并指导临床干预,增加临床干预的准确性、科学性和有效性。Objective：To study the clinical value of portable ehocardiography system in diagnosis for acute paroxysmal dyspnea. Methods：Clinical data of 60patients with acute paroxysmal dyspnea recorded by a portable echoearcliography apparatus at their bedside were retrospectively analyzed. And compared to those of 45 patients by conventional echocarcliography. Results：The 2D images in portable echocardiography were similar to those of conventional eehocardiography. Diagnosis could be established in 28 （46. 7%）, corrected in 13 （21. 7%）, confirmed with other material in 9 （15.0 %） with acute paroxysmal dyspnea by portable echocardiography system. Others were 10 patient （16.7 %） And, portable echocardiography system could be used to diagnose pericardial efusion and to monitor pericardial puncturing and draining at bedside. Conclusions .. Portable echocardiography systems Can provide rapid,accurate and valuable information on diagnosis and treatment for acute paroxysmal dyspnea ,and make its clinical intervention accurate ,scientific an d effective.

关 键 词：超声心动描记术 呼吸困难/诊断 人类 

分 类 号：R441.8[医药卫生—诊断学]