摘要
本文系统分析30例主动脉窦瘤破裂的临床资料。总结出以下诊断要点:(1)本病多见于男性,好发年龄20～40岁;(2)多数起病急,进展快;(3)成年患者在心前区突然出现连续性杂音或原有收缩期杂音上又出现新的连续性杂音;(4)心电图不具备特异性,但若V_1导联呈rSr'形高度提示主动脉窦瘤破入右房;(5)X线胸片特点是心脏普遍增大,多数呈主动脉型心脏,而肺血增多不严重;(6)最后诊断依赖二维超声或主动脉造影。
Rupture of aortic sinus aneurysm is a rare congenital heart disease. It is sometimes misdiagnosed and treated because of no typical symptoms and signs. 30 cases with rupture of aneurysm of aortic sinus were studied. Clinical data suggest that the disease can be firstly noticed when a healthy male aged 20～40 years develops suddenly chest pain or extremely uncomfortable feeling with gradually increasing heart dysfunction and low-frequency harsh and superficial continuous precordial murmurs. Chest X-ray exhibits enlargement of heart and asymmetry of pulmonary plethora. ECG finding is not significant but when the rupture enters the right atrium lead Ⅴ_1 may show rSr pattern. The diagnosis is confirmed by colour Doppler echocardiography and aortography. Rupture of the right coronary sinus is the most common type amounted about 86.7% while that of the noncoronary sinuns 13.3%. There was no rupture of the left sinus in our series. Coexistent anomalies were supra-positlon of ventricular septal defect (41%) and aortic regurgitation (16.7%)
出处
《中国循环杂志》
CSCD
1993年第1期30-32,共3页
Chinese Circulation Journal
关键词
主动脉瘤
破裂
超声心动图
Repture of aortic sinus aneurysm
Aortography
Colour Doppler echocardiography
