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作 者:于长春
出 处:《中国社区医师(医学专业)》2012年第5期16-16,共1页
摘 要:目的:探讨老年退行性心脏瓣膜病临床特点,以便于正确诊断。方法:收治老年退行性心瓣膜病患者64例,对临床表现各种辅助检查和治疗进行总结和回顾性分析。结果:对47例心功能>Ⅱ级患者,予以药物综合治疗3~10天后,心衰及心绞痛症状基本控制;另3例院外猝死,8例转上级医院行换瓣术治疗,5例安装心脏起搏器。结论:老年退行性心瓣膜病男性多于女性,发病年龄多>70岁,UCG具有较高的敏感性及特异性,是诊断SDHVD的首选检查方法。Objective:To investigate the degenerative valvular heart disease clinical features,in order to facilitate the correct diagnosis.Method:Set in our hospital in March 2010-October 2011 treatment of 64 elderly patients with degenerative valvular disease on clinical manifestations and treatment of a variety of laboratory examinations were summarized and analyzed retrospectively.Results:47 cases of cardiac function grade Ⅱ patients,drug therapy to be 3~10 d later,of heart failure and angina pectoris symptoms under control;other three cases of sudden death outside the hospital,and 8 transfer line valve replacement in the treatment of higher-level hospitals,5 patients with cardiac pacemaker.Conclusion:degenerative heart valve disease more men than women,how to age greater than 70 years,UCG has high sensitivity and specificity in the diagnosis of SDHVD the preferred screening method.
分 类 号:R542.5[医药卫生—心血管疾病]
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