大学生左心室假腱索29例分析.docVIP

【摘要】 目的：探讨大学生左心室假腱索检出率及临床意义，为早期防治心脏疾病提供科学依据。方法：心脏听诊受检者29158名,检出心脏≥Ⅲ 级收缩期杂音73例,并以73例杂音做为基本入选条件,应用心脏B超及彩色多普勒显像对73例心脏杂音进行检查。结果：检出左心室假腱索29例。左心室假腱索人群检出率为0.99‰，心脏杂音假腱索检出率为39.73%，男女检出率无统计学意义（P 0.25）。结论：心脏杂音左心室假腱索检出率较高；左心室假腱索与心脏生理性杂音有关，应与器质性心脏疾病鉴别；与其他心脏疾病的关系有待于进一步探讨。 【关键词】 心脏；左心室假腱索；心脏杂音；检出率；心脏B超；彩色多普勒；心电图描记术 　　An Analysis of the Checking Rate of LVFT among the University Students 　　DONG Min-li, ZHANG Rui-ying Internal Medicine of Hospital of Henan Technology University, Zhengzhou 450052, China 【Abstract】 Objective：To inquire into the checking rate of LVFT among the university students so as to provide scientific basis for the early prevention and treatment of the heart disease and its clinical meaning. Methods:Apply stethoscopes to examine 29158 subjects, among which 73 cases have been checked out as systolic murmur≥ III SM. Then apply Heart Brightness Mode and CDFI to further examine the above-mentioned 73 cases.Results: Check 29 patients of LVFT. The checking rate of people for LVFT is 0.99‰ and that of cardiac murmur LVFT is 39.73%.The checking rate for men and women is not meaningful for statistics P 0.25 .Conclusions: ① The checking rate of cardiac murmur LVFT is relatively high; ② LVFT is related to functional cardiac murmur and a distinction should made between functional cardiac murmur and problematic heart diseases; ③ As for the relationship between LVFT and other heart diseases, a further exploration and discussion is needed. 　　【Key words】Heart; LVFT; Cardiac murmur; Checking rate; Heart Brightness Mode; CDFI; ECG 　　左心室假腱索 left ventricular false tendons, LVFT 过去曾认为是心脏的正常解剖学变异，无重要临床意义，近来发现LVFT是产生早搏及心脏生理性杂音的原因之一，易误诊为器质性心脏病。笔者在2000-2006年大学新生体检中对心脏听诊≥III级收缩期杂音者全部进行心脏B超检查，发现左室假腱索29例，结果报道如下。 　　1 对象与方法 　　1.1 对象 以2000-2006级大学生为检查对象。心脏听诊受检者29 158人，其中男18 969人，女10 189人，年龄18~22岁，心脏听诊≥Ⅲ级收缩期杂音73例。并以73例杂音做为基本入选条件，应用心脏B超及彩色多普勒显像对73例心脏杂音进行检查，检出左心室假腱索（LVFT）29例。 　　1.2 方法 仪器分别应用①美国菲利浦7500彩色超声仪，探头频率3.5~5 MHz，常规行二维切面检查，观察各房室腔大小及瓣膜情况并结合彩色多普勒血流显像，了解有无狭窄及关闭不全；②日本NEC KARTIZER