超声监测在急性暴发型心肌炎PCPS治疗中的应用(附1例报告)  

Application of echocardiographic monitoring in percutaneous cardiopulmonary support for the treatment of acute fulminant myocarditis: report of one case

作　　者：王鹏[1] 谢志斌[1] 武文[2] 

机构地区：[1]第一军医大学南方医院心内科,广东广州510515 [2]兰州军区乌鲁木齐总医院普内科,新疆乌鲁木齐830000

出　　处：《第一军医大学学报》2004年第5期602-603,共2页Journal of First Military Medical University

摘　　要：目的动态观察急性暴发型心肌炎的心脏超声心动图表现及在经皮心肺支持系统(PCPS)治疗术中的应用价值。方法应用彩色多普勒超声心动图诊断仪动态观察1例急性暴发型心肌炎患者在PCPS治疗术前后房室腔大小、室壁厚度、搏动幅度以及心功能指标,床旁实时监测术中导管位置。结果超声心动图监测表现为PCPS术前后室壁运动功能明显改善,心脏射血分数与室壁短轴缩短率改善。结论急性暴发型心肌炎患者超声表现为室壁运动明显减弱,心脏射血分数明显减低,左室腔内径增大,少量心包积液。彩色多普勒超声诊断在心脏急症的救治中能起到重要作用。Objective To observe dynamic echocardiographic changes in patients with acute fulminant myocarditis and assess the clinical value of echocardiography in treatment with percutaneous cardiopulmonary support (PCPS). Method PCPS through the femoral artery/vein was used in the treatment of a patient with acute fulminant myocarditis, with dynamic echocardiographic observation of the atrial and ventricular volumes, left ventricular wall thickness, pulsatile amplitude and cardiac functions before and after PCPS. The position of the catheter of PCPS was also under dynamic bedside monitoring. Results and Conclusion The patient showed significant echocardiographic changes, such as weakening of the wall movement, lowered ejection fraction, widening of the left ventricular internal diameter with mild pericardial exudation. After PCPS, the cardiac functions such as the heart movement, ejection fraction and the shortening rate of the short axis were greatly improved as observed with ambulatory echocardiography. This case suggests that ambulatory echocardiography can be instrumental in the management of cardiac emergencies.

关 键 词：超声监测 急性暴发型心肌炎 PCPS 治疗 

分 类 号：R542.2[医药卫生—心血管疾病]