分析心脏淀粉样变的心脏超声特点及诊断效果.docVIP

精品论文 参考文献 分析心脏淀粉样变的心脏超声特点及诊断效果 讷河市人民医院 161300 摘要：目的 研究分析心脏淀粉样变的心脏超声特点及诊断效果。方法 此次研究的对象是从2010年4月—2013年4月在该院接受临床及病理检查并最终确诊为心脏淀粉样变性的患者，将其临床资料进行回顾性分析，并丛中随机选择40例，回顾性分析40例患者的超声心动图特点和心电图特点。结果经心脏超声检查可得，40例患者均表现出室间隔以及左心室后壁出现向心性的增厚现象，而左心室的容积呈正常状态；40例患者均出现舒张功能不全的症状；且40例患者中有38例出现左心房增大的情况，占到总例数的95%，另外有34例（85%）心内膜下心肌出现颗粒样的反光增强现象，还有22例（55%）患者出现中大量的心包积液。经心电图检测显示出：40例患者经心电图肢体导联检测，电压均较低，肢体导联低电压的发生率为55%，假??梗死Q波的发生率为45%。结论 临床出现不明原因的心力衰竭症状的患者，如果经心脏超声，现实出心室肌肥厚，而且心室的容积呈正常状态，并伴随心内膜下心肌内出现颗粒样反光增强现象，而经心电图检测又表现出肢体导联的低电压或非梗死性Q波时，一定要考虑到出现了心脏淀粉样变性的可能。要及时进行进一步的各种具体检查，例如病理活检等，早日进行确诊，一旦确诊为心脏淀粉样变要及时采取针对性治疗，以免延误病情。 关键词：淀粉样变性；心肌；超声心动描记术 [Abstract] Objective To study the characteristics and diagnostic results of cardiac amyloidosis. Methods the study object is from April 2010 - 2013 April in the hospital accepted clinical and pathological examination and final diagnosis for the patients with cardiac amyloidosis，their clinical data were retrospective analysis，and a pair of randomly selected 40 cases，retrospective analysis of 40 cases of patients with ultrasound heart image characteristics and the characteristics of ECG. Results the cardiac ultrasound examination can be obtained，40 patients showed ventricular septum and left ventricular posterior wall appear to the mind of the thickening and left ventricular volume is normal；40 cases of patients with diastolic function without symptoms；and 40 patients with 38 cases of left atrial increase large，accounted for 95% of the total number of cases. In addition，there are 34 cases（85%）of subendocardial myocardial appeared granular reflective enhancement phenomenon，and 22（55%）patients appeared in large amount of pericardial effusion. The ECG detection showed：40 cases of patients by ECG limb lead detection，voltage is low，the incidence of limb lead low voltage is 55%，the incidence of false infarction Q wave is 45%. Conclusion clinical patients with unexplained symptoms of heart failure，if by heart ultrasound，reality out of left ventricular hypertrophy（LVH）and ventri