应用超声腹部探头诊断心血管疾病体会.docVIP

应用超声腹部探头诊断心血管疾病体会 　　[摘要] 目的 探讨腹部探头诊断心血管疾病的临床价值。 方法 选取2009年3月～2011年5月我院收治的95例心血管疾病患者作为研究对象，采用GE-V730型腹部探头结合心脏探头进行对比检查，分析各切面图像及诊断结果。 结果 （1）左心室短轴切面、左心室长轴切面超声图像满意度最高，均为100%；其次为主动脉短轴切面与心尖四腔切面，满意度分别为97.9%、96.8%；超声图像满意度最低的为肺动脉长轴切面与剑突下四腔切面，分别为44.2%、0。（2）本组患者经使用腹部探头检查与最终超声心动图检查结果符合者91例，误诊4例。其中3例患者腹部探头诊断为动脉导管未闭，1例诊断为心包积液，确诊结果分别为主动脉瓣狭窄和肺心病。本组腹部探头诊断准确率为91.6%（87/95）。 结论 超声腹部探头可以应用于心血管疾病的临床诊断，对不具备彩色多普勒超声心动图诊断仪的医疗单位可推广使用，但存在一定的误诊率。 [关键词] 腹部超声探头；心血管疾病；诊断；价值 [中图分类号] R543.1 [文献标识码] B [文章编号] 2095-0616（2013）13-117-03 Study on abdomen ultrasonic probe in the diagnosis of cardiovascular diseases ZAHNG Qiumin Department of Internal Medicine，Nanwan People’s Hospital of Longgang District，Shenzhen 518114，China [Abstract] Objective To discuss the clinical value of abdomen ultrasonic probe in the diagnosis of cardiovascular diseases. Methods 95 cases with cardiovascular diseases in our hospital from March 2009 to May 2011 were examined by GE-V730 abdomen ultrasonic probe and cardiac ultrasonic probe，and the slice images and diagnosis results were analyzed. Results （1）The satisfaction of ultrasonic image of left ventricular short-axis section and left ventricular long-axis section were highest and 100%；Followed by aortic short-axis section and apical four-chamber section， the satisfaction of ultrasonic image was 97.9%，96.8% respectively；The satisfaction of ultrasonic image of pulmonary long-axis section and four-chamber section beneath the xiphoid process were lowest and 44.2%，0% respectively.（2）The patients with consistent examination results of abdominal probe and final echocardiography were 91 cases.The patients with misdiagnosis were 4 cases，3 cases of all had the misdiagnosis of patent ductus arteriosus by abdominal probe examination，and 1 case of all had the misdiagnosis of pericardial effusion，while aortic stenosis and pulmonary heart disease were finally confirmed diagnosis respectively.The accuracy rate of diagnosis by abdominal probe examination was 91.6%（87/95）. Con