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钙化性心瓣膜病临床诊断探讨

DISCUSSION ON CLINClCAL DIAGNOSIS OF CALCIFIC HEART DISEASES─A CLINICAL ANALSIS IN 51 CASES
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摘要 报告51例钙化性心瓣膜病,占同期心血管住院病人的8.4%(51/605),主动脉瓣病变21例(41.O%),联合瓣膜病变18例(35.o%),二尖瓣病变12例(24.0%)。彩色超声多普勒检查示39例主动脉瓣病变中30例(76.9%)有主动脉瓣返流,13例(33.3%)有主动脉瓣狭窄;二尖瓣病变30例中25例(83.3%)有二尖瓣返流。最多见的临床表现是心功能不全(41%).对本病的临床诊断进行了讨论,认为超声心动图检查为本病诊断的重要依赖手段。 iftv- one cases with calcific heart valvular disease were reported.The morbidity was 8·4%of the cardiac hospitalizations(5l/l60.Among 5l patients, 2l(41%)had aortic valve calcifica-tion and l8(35% aortic valve calcification with mitral valve leaflets,and mitral ring calcifica-tion,and the remaining l2(24% among 39 patients mitral valve leafltes and/or mitral ring calci-fiction。Colour Doppler study found that among 39 patients with aortic lesions,30(76%)hadaortic regurgitation and l3(33.3%)aortic stenosis,and among 30 patients with mitral lesions,25(83. 3%)had mitral regurgitation,The most clinical manifestations were cardiac function insuf-ficiency。The clinical diagnosis was discussed and the author believed that the echocardiograghywas the most important method for the diagnosis。
作者 张怀勤
出处 《温州医学院学报》 CAS 1994年第2期87-89,共3页 Journal of Wenzhou Medical College
关键词 心脏瓣膜疾病 钙化 超声心动图 heart valvular disease,calcification,diagnosis,echocardiograghy
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