心腔内超声指导心肌活检诊断心脏淀粉样变1例  

A case report of cardiac amyloidosis diagnosed by myocardial biopsy guided by intracardiac ultrasound

作　　者：李华俊 朱虹 王亚萍 占宏伟[2] 李金范[3] 王丽华[4] 王启苑[4] 马群超[1] 刘春晖 蒋峻[1] 田庄[5] 潘小宏[1] Li Huajun;Zhu Hong;Wang Yaping;Zhan Hongwei;Li Jinfan;Wang Lihua;Wang Qiyuan;Ma Qunchao;Liu Chunhui;Jiang Jun;Tian Zhuang;Pan Xiaohong(Department of Cardiology,Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310009,China;Department of Nuclear Medicine,Second Affiliated Hospital Zhejiang University School of Medicine,Hangzhou 310009,China;Department of Pathology,Second Affiliated Hospital Zhejiang University School of Medicine,Hangzhou 310009,China;Department of Radiology,Second Affiliated Hospital Zhejiang University School of Medicine,Hangzhou 310009,China;Department of Cardiology,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]浙江大学医学院附属第二医院心血管内科,杭州310009 [2]浙江大学医学院附属第二医院核医学科,杭州310009 [3]浙江大学医学院附属第二医院病理科,杭州310009 [4]浙江大学医学院附属第二医院放射科,杭州310009 [5]中国医学科学院,北京协和医学院,北京协和医院心内科,北京100730

出　　处：《中华心血管病杂志》2022年第1期75-77,共3页Chinese Journal of Cardiology

摘　　要：该文报道1例63岁男性患者,因“反复胸闷、气促1月余”入院。心电图和超声心动图示心脏淀粉样变警示征,血游离轻链κ/λ0.040。在心腔内超声引导下成功行心肌活检,心肌组织病理确诊为心脏淀粉样变、λ轻链型。

关 键 词：淀粉样变性 心脏 心肌活检 心腔内超声 

分 类 号：R445.1[医药卫生—影像医学与核医学] R541[医药卫生—诊断学]