小儿心内膜弹力纤维增生症的临床诊断方法及评价  

Clinical diagnosis and evaluation of endocardial fibroelastosis in children

作　　者：丁淼[1] 何蓉[1] 王兴勇[1] 胡超凡[2] 邱春兰[1] 熊燚[1] 

机构地区：[1]重庆医科大学附属儿童医院ICU,重庆400014 [2]重庆市江津区人民医院超声科,重庆402260

出　　处：《重庆医科大学学报》2010年第10期1539-1541,共3页Journal of Chongqing Medical University

摘　　要：目的:探讨并评价小儿心内膜弹力纤维增生症(Endocardial fibroelastosis,EFE)的临床有效诊断方法。方法:采用X线、心电图、超声心动图检测34例EFE患儿的心内结构及心功能改变,包括测量心脏房室的大小、心内膜的厚度和各项心功能指标。结果:EFE患儿心电图均有异常,超声示心室内膜明显增厚,左心收缩功能明显降低。结论:EFE有胸片和心电图异常及特征性超声表现,因此,在诊断EFE方面,胸片、心电图和超声三者联合应用较可靠,但在判断患儿预后方面超声心动图更有应用价值。Objective：Todiscuss and evaluate the clinical diagnosis and effective methods of Endocardial fibroelastosis（EFE）in children. Methods：To detect the change of the heart structure and function during 34 children with EFE by using X-ray,ECG,echocardiography, including measuring the size of the atrio-ventricular heart,endocardial thickness and the parameter about heart function.Results： Children with EFE have electrocardiographic abnormality,ventricular endometrial obviously thickening and left ventricular systolic function decreased obviously. Conclusion：The heart in EFE group has X-ray,electrocardiographic abnormality and characteristic performance of the echocardiography. The application of X-ray ,ECG and ultrasound combined is more reliable in the diagnosis of EFE. But echocardiography is more valuable to determine the prognosis of children with EFE.

关 键 词：心内膜弹力纤维增生症 超声检查 评价 

分 类 号：R725.4[医药卫生—儿科]