老年钙化性心脏瓣膜病120例临床分析  

Clinical Analysis of 120 cases of senile calcified valvular diseases

作　　者：尹雪艳[1] 余淑芳[1] 崔敏[1] 

机构地区：[1]大理学院附属医院心内科,云南大理671000

出　　处：《大理学院学报（综合版）》2009年第10期56-58,共3页Journal of Dali University

摘　　要：目的:探讨老年钙化性心瓣膜病的临床特点与早期诊断价值。方法:回顾分析120例经心脏超声检查确诊的≥50岁的钙化性心脏瓣膜病患者的临床一般资料及与钙化瓣膜有关的心脏结构与功能的超声指标。结果:本组病例的平均患病年龄在69.5岁,合并高血压病的占53.3%;主动脉内径增宽的占71.67%;≥60岁组的患者主动脉瓣(AV)的累及达72.3%。结论:心脏的瓣膜钙化与年龄增长呈正相关,高血压与主动脉硬化是加速瓣膜钙化的主要因素;主动脉瓣的累及明显多于二尖瓣;对高血压病患者和60岁以上的老年人常规行心脏超声检查是早期发现钙化性心脏瓣膜病的最佳手段。Objective： To investigate the clinical characteristics and the value of early diagnosis of senile calcified valvular disease. Methods： The general data and echocardiographic results in 120 patients aged at least 50 years with senile calcified valvular disease confirmed by echocardiography were collected and analyzed. Results： Among the 120 patients, the average age was 69.5, and 53.3% were hypertensive, 71.2% had widened aortic diameter, and aortic valve was calcified in 72.3% of patients with the age of 60 or over. Conclusions： The calcification of valve was correlated with increasing age. Hypertension and aortosclerosis were major determinants of accelerated valvular calcification, and aortic valve was more involved than mitral valve. Echocardiography was the best method in the early diagnosis of calcified valvular disease in hypertensive or elderly patients.

关 键 词：钙化性心瓣膜病 临床分析 心脏超声检查 

分 类 号：R542.5[医药卫生—心血管疾病]