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经胸超声心动图诊断风湿性心脏病左房血栓的价值

The Assessment of Transthoracic Echocardiography in Patients with Left Atrial Thrombus of Rheumatic Heart Disease
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摘要 目的 分析风湿性心脏病左房血栓的经胸超声心动图表现 ,探讨影响左房血栓形成的因素。方法 收集2 0 5例风湿性心脏病患者经胸超声心动图资料 ,分为血栓组与无血栓对照组 ,分析左房血栓形成与年龄、左房大小、房颤、二尖瓣口面积及二尖瓣返流量之间的关系。结果 与对照组比较 ,血栓组左房较大 ,心房纤颤发生率明显增高 ,二尖瓣狭窄程度重 ,返流量明显小 ,均有统计学显著性差异。结论 经胸超声心动图能检出大部分左房血栓。左房血栓的形成与心房纤颤的发生、左房增大、二尖瓣狭窄及返流量明显相关。 Objective To evaluate the influential factors of the formation of left atrial thrombus in rheumatic heart disease and the diagostic value of trensthoracic echocardiography (TTE). Methods 205 cases with rheumatic heart disease were examined by TTE, some of them were compared with transesophageal echocardiography(TEE) and operation. Results The size of left atrium, the incidence of artial fibrillation and mitral stenosis was increased obviously, but the mitral regurgitation was less. Conclusion The TTE can check out most of left atrial thrombus in rheumatic heart disease. The formation of left atrial thrombus was correlated with artial fibrillation, the size of left atrial and the degree of mitral stenosis.
出处 《中国热带医学》 CAS 2001年第4期398-399,共2页 China Tropical Medicine
关键词 超声心动图 诊断 风湿性心脏病 左房血栓 影响因素 Transthoracic Echocardiography Rheumatic Heart Disease Thrombus in left atrium.
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