摘要
目的:提高对慢性缩窄性心包炎的临床及影像学特征的认识能力,降低误诊率。方法:分析41例慢性缩窄性心包炎的临床表现,影像学特征。结果:临床表现为不同程度的呼吸困难、心悸、浅静脉充盈,心尖搏动减弱、奇脉、脉压差小。影像学表现:超声心动图检查:心室舒张末径缩小者33例,24例于M型超声心动图上见左室后壁在舒张中晚期运动停止呈平直外形。X线检查:心影轻中度扩大者32例,25例出现心包钙化,26例出现肺淤血,肺部有结核病灶者23例。CT可明确显示心包增厚及钙化。结论:慢性缩窄性心包炎的影像学特征是一侧或两侧心缘僵直,搏动减弱,心包膜增厚、钙化,心室缩小,小心室大静脉。
Objective： To improve the cognitive ability of chronic constrictive pericarditis , Reduces mishiagnosing rate. Methods： The review analysis 41 examples chronic constrictive pericarditis the clinical manifestation, the image studyCharacteristic . Resuits：The clinical manifestation for varying degree having difficulty in breathing, the palpitation, the shallow vein fulls, heart pulsates weakens, the arteries differential pressure is small. Image study performance： 33exams Ventricle diastole Diameter Reduces in age. 32 exams heart Light moderate expansion in X ray inspection . 25 exams Pericardium calcification. 26 exams Lung extravasated blood. 23 exams Pulmonary tuberculosis. CT may be clear about the demonstration pericardium thick and the calcification. Conclusion： The imaging character of chronic constrictive pericarditis is tetanicing with one or both of the heart surface , pulsates weakens. Pericardium thick and calcification, ventricles small. Small ventricle Big Vein.
出处
《农垦医学》
2008年第2期100-103,共4页
Journal of Nongken Medicine
关键词
心包炎
影像特征
Pericarditis
Imaging Character
