超声心动图对缩窄性心包炎的诊断价值  

作　　者：许晓静[1] 赵敏[1] 

机构地区：[1]杭州市第一人民医院超声影像科,231006

出　　处：《浙江临床医学》2016年第8期1505-1506,共2页Zhejiang Clinical Medical Journal

摘　　要：目的分析缩窄性心包炎（CP）超声心动图表现，探讨超声心动图在CP诊断中的价值。方法近年来收治的10例CP患者的经胸超声心动图（TTE）及CT资料进行回顾性分析，部分患者经手术证实。结果CP的典型表现：心包增厚、粘连、钙化；CP超声间接表现：左右心室相对缩小、左右心房显著增大伴房室交界后角变小；二、三尖瓣口多普勒血流频谱随呼吸改变；舒张早期室间隔有异常抖动，腔静脉的内径增宽等。结论超声心动图常作为首诊方法，联合CT和TEE可显著提高缩窄性心包炎的阳性检出率。Objective To analyze constrictive pericarditis （ CP ） features in echocardiography and to explore the value of echocardiography in the diagnosis of CP. Methods 10 patients with CP were admitted in our hospital in recent years by thoracic echocardiography （ TTE ） and CT data were retrospectively analyzed, some patients were confirmed by surgery. Results A typical manifestation of CP included thickening of pericardium, adhesion, calcification; The indirect sonographic findings： ventricular relative narrow, left and right atrium with atrioventricular after border Angle decreases; Second, tricuspid doppler blood flow spectrum Change with the breath; Early diastolic ventricular septal anomaly jitter; The inner diameter of the inferior vena cava broadening. Conclusions TTE is the first diagnosis method to CP, combination of CT and TEE can significantly increase the positive detection rate of constrictive pericarditis.

关 键 词：缩窄性心包炎 超声心动图 多层次摄片 

分 类 号：R725.97[医药卫生—儿科]