摘要
目的探讨左心憩室和左室室壁瘤的区别。方法对我院心内科就诊的心痛心悸患者632例进行彩色多普勒超声心动图、冠脉造影、心脏造影以及心电图检查。结果 632例患者中使用彩色多普勒超声心动图诊断出左心室憩1例、假性室壁瘤1例、真性室壁瘤19例。左心室憩室冠脉造影无狭窄,心脏造影可见尖可见囊状结构,收缩期可完全排空,心电图无心肌梗死表现;左室室壁瘤冠脉造影4例部分血管严重狭窄15例部分血管狭窄,闭塞,心脏造影可见心尖或下壁向外膨出,收缩功能消失,矛盾运动,心电图均有心肌梗死表现。结论彩色多普勒超声心动图不但可以直接观察到室壁膨出部位,形态、大小与周围组织的关系及血流特征,脉冲多普勒可记录血流频谱,具有无创伤、廉价、操作简便可靠、可重复性操作等特点,是临床对左心室憩室,真、假性室壁瘤诊断和鉴别诊断有价值方法。
objective to study the left heart and left ventricular ShiBiLiu diverticula the difference. Methods in our heart medicine clinic of 632 patients with heart palpitations for color doppler echocardiography, coronary angiography, cardiac imaging and ecg. Results among 632 cases with using color doppler eehoeardiography diagnosis of the left ventricle resting, 1 ease ShiBiLiu mim- icked in 1 case, are the true ShiBiLiu 19 cases. Left ventricular diverticula coronary angiography no narrow, cardiac imaging visi- ble tip visible cystic structures, systolic can completely empty, electrocardiogram （ecg） no myocardial infarction performance; Left ventrieular ShiBiLiu coronary angiography 4 cases of severe narrowing blood vessels 15 eases of hemal stricture, shut up, heart imaging XinJian visible or next walls bulge outward to, systolic function disappear, motion, electrocardiogram （ecg） all have my- ocardial infarction performance. Conclusion color doppler echocardiography can not only directly observed room wall surfaces site, shape, size and the relationship between the surrounding tissue and blood flow characteristics, pulse doppler spectrum can record blood flow, with no wound, cheap, easy operation and reliable operation, repeatability, ete, it is clinical of left ventricle diverticula, really, pseudoaneurysms, ShiBiLiu diagnosis and differential diagnosis have value method.
出处
《中外医疗》
2012年第22期41-42,44,共3页
China & Foreign Medical Treatment
关键词
左心室憩室
心肌梗死
真假室壁瘤
left ventrieular diverticula
Myocardial infarction
True and false ShiBiLiu
