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1.
多平面经食管超声心动图(MTEE)是目前超声心动图的最新进展之一。本文报告了应用该技术对60例心脏患者检查结果,认为多平面经食管超声心动图较胸前超声心动图(TTE)图像更清晰、直观、可靠,是胸前超声心动图的重要补充,可大大降低漏诊和误诊。  相似文献   

2.
多平面经食管超声心动图(MTEE)是目前超声心动图的最新进展之一。本文报告了应用该技术对60例心脏患者检查结果,认为多平面食管超声心动图较胸前超声心动图(TTE)图像更清楚、直观、可靠、是胸前超声心动图的重要补充,可大大降低漏诊和误诊。  相似文献   

3.
第二代多平面经食管超声心动图的临床应用   总被引:2,自引:0,他引:2  
多平面经食管超声心动图(MTEE)是近几年发展起来的超声新技术[1~3],我院新近用第二代多平面经食管超声心动图检查患者32例,总结如下.1对象和方法1.1对象32例已经胸部超声心动图(TTE)检查患者,2例TTE未见异常,30例TTE均有异常改变,...  相似文献   

4.
目的:评价经食管超声心动图在心脏外科手术中的临床应用价值。方法接受心脏外科手术的心脏病患者168例,在麻醉后,对所有患者进行经食管超声心动图连续检查,监测手术过程并评价手术效果。结果77例先天性心脏病矫治患者中,16例室间隔缺损在术中食管超声引导下行小切口经右心室穿刺封堵术,1例患儿在麻醉后手术前纠正误诊;45例瓣膜置换患者中,13例联合瓣膜病变患者参照食管超声结果最终确定手术方案,1例二尖瓣置换术后三维食管超声及时发现卡瓣;1例拟行带瓣升主动脉人造血管置换术患者结合手术前食管超声结果改变术式;1例肝癌合并上腔静脉取癌栓患者在食管超声指引下非体外循环完成手术。结论经食管超声心动图用于心脏外科围术期监测,可及时发现围术期手术相关问题、指引手术操作、提高手术成功率。  相似文献   

5.
目的 评价多平面经食管超声心动图 (TEE)在心血管病疾病诊断及治疗监测中的应用价值。方法 应用TEE对 3 7例经胸超声心动图诊断效果不满意患者进行检查。结果 所有患者均耐受TEE检查 ,纠正了 10例患者经胸超声心动图的诊断。 4例继发孔型房间隔缺损患者在TEE监测下行Amplatzer堵塞器关闭 ,效果良好。结论 TEE是一项安全、有效的诊断技术 ,对某些心血管疾病的诊断和介入监测具有重要的价值 ,值得推广应用  相似文献   

6.
老年左室舒张性心力衰竭的临床研究   总被引:7,自引:0,他引:7  
对经核素心室造影证实的40例老年左室舒张性心力衰竭(LVDHF)和30例老年左室收缩性心力衰竭(LVSHF)患者进行超床,超声心动图观察及活动平板运动试验,并以20例健康老年人作对照,评价左室性心力衰竭临床,超声心动图及运动耐量的特点。  相似文献   

7.
双平面食管超声心动图能够克服老年人由于肥胖和其它因素引起的图像不而获得满意的效果,它能够准确地诊断风湿性瓣膜病,明确先天和后天心脏病的病因,明确其性质、程度和了解其血液动力学的改变;观察主动脉和冠状动脉的异常及主动脉夹层动脉瘤病变,鉴别瓣膜病和心脏扩大,双平面食管超声心动图和中老年心脏病的诊断明显优于经胸超声心动图。  相似文献   

8.
经食道超声心动图(transesophageal echocardiographic,TEE)诊断技术是近年心血管超声的重要进展。TEE经由食管检查心脏,由于食管和心脏的毗邻加之使用高频探头,TEE不受声窗条件限制而且分辨率高,能够提供高质量的超声图像,克服经胸超声心动图(transthoracic echocardio-graphy  相似文献   

9.
黄新胜 《当代医学》2001,7(3):69-73
目前超声心动图是临 床上评价人工心脏瓣膜功能的最重要的无创性技术,尤其是经食管超声心动图。本文提供评价人工心脏瓣膜结构和功能的超声心动图技术进展,提供各种人工瓣膜的正常值和超声心动图评价各种人工瓣膜功能不全的价值。  相似文献   

10.
张建蕾  曹晓燕 《吉林医学》2011,32(23):4859-4859
目的:观察经食管超声心动图诊断房间隔缺损的临床分析,探讨经食管超声心动图评价房间隔缺损的临床应用价值。方法:回顾性分析24例房间隔缺损患者的经食管超声心动图。结果:24例患者中中央型17例,混合型2例,下腔型1例,筛孔状房间隔缺损2例,房间隔膨胀瘤合并筛孔状缺损1例,房间隔膨胀瘤合并小房缺1例。结论:经食管超声心动图在房间隔缺损应用中的优越性好,可清晰显示缺损口大小、形态、缺损孔数目、残端房间隔的组织长度及软硬度与周围结构的关系,为此值得临床推广。  相似文献   

11.
OBJECTIVE: To review the current literature on the use of B-type natriuretic peptide in the diagnosis and management of heart failure. DATA SOURCES: Literature search of PubMed was performed up to September 2007. STUDY SELECTION: Key words for the literature search were 'heart failure' and 'B-type natriuretic peptide'. DATA EXTRACTION: Original papers and review articles related to the use of B-type natriuretic peptide in the diagnosis and management of heart failure. DATA SYNTHESIS: Heart failure is common in Hong Kong, and is associated with significant morbidity and mortality. Heart failure is often misdiagnosed. B-type natriuretic peptide may be regarded as a quantitative marker of heart failure; its levels have good diagnostic accuracy and can be measured with a rapid and simple bed-side assay and are useful in the assessment of patients with acute dyspnoea. Factors, such as obesity and renal impairment, alter B-type natriuretic peptide levels. Measurement of B-type natriuretic peptide facilitates improved medical outcomes, is cost-effective, and constitutes a good prognostic indicator for death and cardiac events. CONCLUSIONS: Determination of B-type natriuretic peptide levels is useful in the assessment of patients with acute dyspnoea, to exclude or diagnose heart failure, to facilitate improved medical outcomes, and is cost-effective. In addition, it is a good long-term prognostic indicator and can be used to guide heart failure treatment.  相似文献   

12.
血尿酸水平与慢性充血性心力衰竭患者心功能相关性研究   总被引:2,自引:0,他引:2  
目的探讨血尿酸水平与慢性充血性心力衰竭患者心功能水平的相关性。方法比较134例不同心功能水平的慢性充血性心力衰竭患者血尿酸浓度。结果慢性充血性心力衰竭患者心功能Ⅰ、Ⅱ、Ⅲ和Ⅳ级血尿酸浓度分别为(242.60±92.09)μmol/L、(302.32±41.94)μmol/L、(435.24±66.35)μmol/L、(511.76±16.39)μmol/L,相关分析显示各组具有明显相关性(P〈0.01);排除高脂血症、糖尿病、高血压等影响血尿酸水平的因素,血尿酸水平仍然和心力衰竭的程度有显著相关性(r=0.756,P〈0.01)。结论血尿酸水平与慢性充血性心力衰竭患者心功能显著相关。  相似文献   

13.
目的研究老年慢性心衰患者ACC/AHA分期与心功能指标及尿酸(UA)水平的关系。方法回顾性分析老年慢性心力衰竭患者234例,按ACC/AHA心衰进展分为A、B、C、D四组,健康体检60例作为对照组,比较各组UA水平以及左心室舒张末期内径(LVEDD)和左心室射血分数(LVEF)。结果心衰患者血UA浓度较对照组显著升高(P〈0.001);其水平在心衰各亚组随心衰进展分期不同有统计学差异(P〈0.05或〈0.01);相关分析表明,不同心衰分期的患者UA与LVEF呈负相关(r=-0.236,P〈0.05),与LVEDD呈正相关(r=0.362,P〈0.05)。结论血尿酸水平随着心衰进展分期的增加而升高,与LVEF呈负相关,LVEDD呈正相关,能较好地反映慢性心力衰竭患者的不同心衰分期状态,可应用于临床评价心功能。  相似文献   

14.
目的 :减少法乐四联症病人术后心力衰竭的发生率。方法 :对法乐四联症根治术后的病人实施循环系统的监测 ,药物的使用 ,限制液体入量 ,氧气疗法 ,运动指导及提高睡眠质量六项护理措施。结果 :降低了法乐四联症病人术后心力衰竭的发生率 ,减少了病人的住院日数。结论 :通过实施积极有效的护理措施可以降低法乐四联症病人术后心力衰竭的发生率 ,对病人心衰起到预防的作用 ,取得了良好的临床效果。  相似文献   

15.
We report the case of an 86-year-old man who was admitted with congestive cardiac failure and chronic renal failure. He was previously known to have a thoracic aortic aneurysm and chronic bronchitis. There was no history of myocardial infarction but his heart failure was assumed to be due to ischaemic heart disease. Despite treatment of the heart failure the patient died. At post-mortem he was found to have Toxoplasma gondii myocarditis.  相似文献   

16.
Heart failure is common in the elderly and is associated with a significant morbidity and mortality. It accounts for about 5% of adult medical admissions and the expenditure of 1% of the total National Health Service budget. Clinical presentation in old age may be with the classical symptoms of heart failure but often, due to multiple pathology and low functional ability, presentation is atypical. Both nonspecific symptoms and signs of heart failure, are often a delayed presentation in this population, make diagnosis difficult. Treatment of the failing heart in an older person is similar to the young however, diligence is required when prescribing due to age-related pharmacokinetic changes and co-existent morbidity. This may result in polypharmacy and an increase in drug interactions which themselves may have deleterious consequences. However, knowledge of the aetiology of heart failure in old age and the possible atypical presentation as well as available treatments, will result in better management and improved quality of life and reduced mortality in the elderly heart failure population.  相似文献   

17.
【】目的 观察在其他降压药物基础上联合托拉塞米治疗合并心衰的老年顽固性高血压临床疗效及安全性。方法 选择我院就诊的59 例合并舒张性心衰的老年顽固性高血压患者,入选前患者已给予3种以上降压药物,所用降压药物含噻嗪类或呋塞米片剂,但不含螺内酯,进行规范化治疗,入选后停原来所用利尿剂改用托拉塞米片剂,进行自身前后对照研究,观察4周,进行疗效评定。结果在治疗4周后较之前的平均血压下降明显( P < 0. 05) ,患者降压疗效差异有统计学意义,同时心功能得到改善。结论 合并舒张性心衰的老年顽固性高血压在联合使用其他降压药的基础上,给予托拉塞米治疗可得到较好的降压效果并改善心功能的作用。  相似文献   

18.
Patent ductus arteriosus was diagnosed in 239 neonates of low birth weight (less than 2500 g) referred to the Hospital for Sick Children in a 21/2-year period. The respiratory distress syndrome was present in 77% of the group and congestive heart failure in 50%. Spontaneous closure of the defect was more frequent in those without congestive heart failure. In 48 patients whose heart failure could not be controlled by other medical therapy indomethacin was given, and in 20 (42%) it was judged successful. Surgical ligation of the ductus was performed at a median age of 30 days in 33 infants who either failed to respond to indomethacin or in whom its use was contraindicated; there were no intraoperative deaths, but 11 (33%) of the infants died 4 days to 6 months after the operation.  相似文献   

19.
目的探讨血清胱抑素C(CysC)水平与缺血性心力衰竭(心衰)患者及近期预后的关系。方法收集并测定95例缺血性心衰患者及80例冠心病无心衰患者血清胱抑素、肌酐等指标,比较两组患者血清CysC水平;将心衰患者分为高CysC组及低CvsC组,比较两组患者3个月心血管事件、病死率和再人院率情况差异;分析心衰组患者胱抑素与BNP、肌酐、C反应蛋白等的相关性。结果缺血性心衰患者较无心衰患者胱抑素C水平升高明显,差异具有统计学意义(P〈0.05);高血清CysC组患者3个月心血管事件、病死率和再人院率明显增加,与低血清CysC组比较差异有统计学意义(P〈0.05);相关分析显示血清CysC与肌酐、脑钠肽(BNP)呈显著正相关(P〈0.05)。结论缺血性心衰患者血清CysC水平明显高于非心衰患者,血清CysC水平有可能成为诊断缺血性心衰的一标志物;CysC水平与缺血性心衰患者近期预后有密切的关系.血清CvsC可能成为为缺血性心衰患者近期预后的预测因子。  相似文献   

20.
吴再涛  李玲  何美  张慧霞  张道斌 《医学综述》2010,16(17):2683-2684
目的研究慢性充血性全心衰竭患者血清胆碱酯酶水平与心力衰竭严重程度及心力衰竭症状加重持续时间的相关性。方法测定212例患者的血清胆碱酯酶水平,分析血清胆碱酯酶水平与慢性充血性全心衰竭患者心功能严重程度及心力衰竭症状加重持续时间的相关性。结果血清胆碱酯酶水平随着心功能的下降而逐渐下降(r=-0.849,P<0.01),血清胆碱酯酶水平随着心力衰竭症状加重持续时间的延长而逐渐下降(r=-0.863,P<0.01)。结论血清胆碱酯酶水平可作为评价慢性充血性全心衰竭患者心功能及病程的较好参考指标。  相似文献   

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