老年退行性心脏瓣膜病临床剖析.docVIP

老年退行性心脏瓣膜病临床剖析 　　摘 要 目的：探讨老年退行性心脏瓣膜病临床特点，以便于正确诊断。方法：收治老年退行性心瓣膜病患者64例，对临床表现各种辅助检查和治疗进行总结和回顾性分析。结果：对47例心功能Ⅱ级患者，予以药物综合治疗3～10天后，心衰及心绞痛症状基本控制；另3例院外猝死，8例转上级医院行换瓣术治疗，5例安装心脏起搏器。结论：老年退行性心瓣膜病男性多于女性，发病年龄多＞70岁，UCG具有较高的敏感性及特异性，是诊断SDHVD的首选检查方法。 　　摘 要 目的：探讨老年退行性心脏瓣膜病临床特点，以便于正确诊断。方法：收治老年退行性心瓣膜病患者64例，对临床表现各种辅助检查和治疗进行总结和回顾性分析。结果：对47例心功能Ⅱ级患者，予以药物综合治疗3～10天后，心衰及心绞痛症状基本控制；另3例院外猝死，8例转上级医院行换瓣术治疗，5例安装心脏起搏器。结论：老年退行性心瓣膜病男性多于女性，发病年龄多＞70岁，UCG具有较高的敏感性及特异性，是诊断SDHVD的首选检查方法。 　　关键词 老年退行性心瓣膜病 心律失常 临床特点 　　关键词 老年退行性心瓣膜病 心律失常 临床特点 　　doi:10.3969/j.issn.1007-614x.2012.05.012 　　doi:10.3969/j.issn.1007-614x.2012.05.012 　　Abstract Objective:To investigate the degenerative valvular heart disease clinical features,in order to facilitate the correct diagnosis.Method:Set in our hospital in March 2010-October 2011 treatment of 64 elderly patients with degenerative valvular disease on clinical manifestations and treatment of a variety of laboratory examinations were summarized and analyzed retrospectively.Results:47 cases of cardiac function grade Ⅱ patients,drug therapy to be 3～10 d later,of heart failure and angina pectoris symptoms under control;other three cases of sudden death outside the hospital,and 8 transfer line valve replacement in the treatment of higher-level hospitals,5 patients with cardiac pacemaker.Conclusion:degenerative heart valve disease more men than women,how to age greater than 70 years,UCG has high sensitivity and specificity in the diagnosis of SDHVD the preferred screening method. 　　Abstract Objective:To investigate the degenerative valvular heart disease clinical features,in order to facilitate the correct diagnosis.Method:Set in our hospital in March 2010-October 2011 treatment of 64 elderly patients with degenerative valvular disease on clinical manifestations and treatment of a variety of laboratory examinations were summarized and analyzed retrospectively.Results:47 cases of cardiac function grade Ⅱ patients,drug therapy to be 3～10 d later,of heart failure and angina pectoris s