左室内条索病例对照研究及其临床意义探讨  

Study on Comparision fo Left Ventricular Bands Cases and Its Clinical Significance

作　　者：斯蓉华[1] 郃晓霞 

机构地区：[1]苏州市第二人民医院心超室

出　　处：《苏州医学院学报》1991年第1期36-38,84-85,共3页Acta Academiae Medicinae Suzhou

摘　　要：本文报告1900例心超病人中检出左室内条索者90例,应用1∶1病例对照方法证明左室内条索者的胸闷、心悸、杂音及心电学改变,均明显高于对照组.认为心超是目前诊断左室内条索较理想的手段,条索引起心杂音及心律失常与其细胞、形态结构、电生理和血流动力学有关,伴发病(或因素)均可加重左室条索的心脏反应.动态观察含左心衰心脏杂音,可作为临床判断参考指标,并谨慎提出左室内条索难治性心律失常外科治疗的可能性.Ninety patients with left ventricular bands(LVB)were found in 1900 patients undergoing two—dimensional echcardiography study,paired comparisons were made between 90 cases withLVB and 90 cases without LVB.The result shows that distress in chest palpitation,cardiac mur-mur and change in ECG in the patient groups were significantly higher than that in the controlgroup.Murmur and a hythmia in patients associated with cellular,morphological histological,and electrophysiologic changes and hemodynamics of LVB.Complicated diseases may aggravatethe cardiac reaction of LVB.Stress should be put on the dynamic state of LVB.The possibility ofcuring refractory anhythnica by cardiac surgery in the patient with,LVB was put forward careful-ly.Two—dimensional UCG is the most useful method in diagnosing LVB.

关 键 词：左室内条索 超声心动图 

分 类 号：R541.904[医药卫生—心血管疾病]