粘液水肿心脏病的X线诊断  

Radiologic Diagnosis of Myxedema Heart Dsease

作　　者：李扶和 余伟南[1] 张蕴[1] 郭佑民[1] 

机构地区：[1]西安医科大学第一附属医院放射科

出　　处：《临床放射学杂志》1991年第2期59-61,110-113,共3页Journal of Clinical Radiology

摘　　要：本文报告从107例粘液水肿中经临床、核素及X 线检查确诊为粘液水肿心脏病32例。男6例,女26例,平均年龄45.6岁。32例甲低中半数无明显原因,T_3、T_4及131碘三项检查中至少有一项在其低水平线以下。32例在治疗前后均经X 线检查,都有程度不等之对称性心脏增大。经甲状腺素替代治疗后,心脏不同程度的缩小。简要讨论了有关病因,提出了X 线表现的分型类别。讨论了高冠心、原发性扩张型心肌病的鉴别要点,提出对粘液水肿心脏病诊断的四个注意问题。Thirty-two cases of myxedemaheart disease confirmed by clinical,nuclear medicine and radiologic stu-dies are presented.There were 6 menand 26 women with an average age of45.6 years.Of 32 cases,16 had no id-entified etiology,but all of them hadat least one of the three tests(T_3,T_4,and ^(131)I)below the normal standard value.Pre-or post-treatment,the hearts were bilaterally enlargem-ent in various degrees on X ray filmsin all cases.But after the thyrpxinereplacement treatment,the hearts weredecreased in size in various degrees.The relative etiology of this diseaseand the differential diagnosis fromhypertensive heart disease,coronaryheart disease and primary dilativecardiomyopathy are discussed.Theclassification of radiologic menifes-ration is suggested.We should payattention to four aspects in diagnosisof myxedema heart disease.

关 键 词：心脏病 粘液水肿 X线诊断 

分 类 号：R816.2[医药卫生—放射医学]