二维超声心动图诊断房间隔瘤一例

病历摘要赵某,男,30岁,农民,(住院号120918)。因间歇性关节痛13年,活动后心悸半年余,1986年6月7日入院。患者自17岁开始有发作性关节肿痛,曾诊断为“类风湿性关节炎”。近半年来,关节疼痛加重,伴间歇性发热,活动后心悸,但能坚持农业劳动。入院体检;T 37℃,R 20次/分,P80次/     

心肌脓肿致心脏破裂2例

感染性心肌脓肿致心脏破裂国内报告极少，我们遇见心房、心室破裂各1例，现报告如下。例1男，30岁。因胸骨后疼痛12d、加重1周伴咳嗽、胸闷、气喘于1985年1月22日入院。患者12d前挑重担后感胸骨后疼痛，呈持续性税痛，向左肩背部放射，近1周不能平卧，伴咳嗽、胸闷、气喘、发热     

氯沙坦与卡托普利治疗年性慢性充血性心力衰竭的观察

目的：通过对老年人慢性充血性心力衰竭（CHF）的治疗，观察氯沙坦与卡托普利的疗效。方法：对1999年1月－2000年10月期间住院的心功能Ⅱ-Ⅳ级的非难治性心衰老年病人157例，随机分为氯沙坦组与卡托普利组，治疗12周，观察心功能改善情况、不良反应发生及症状反复情况。结果：治疗有效率氯沙坦组72例（96．0％），卡托普利组61例（93．8％），两组比较无显著差异（P＞0．05）。氯沙坦组不良反应发生1例（1．3％），卡托普利组不良反应发生23例（25．4％），停药16例（19．7％），两组比较有显著差异（P＜0．001）。氯沙坦组症状反复7例（9．3％），卡托普利组则有12例（16．9％），两组比较无显著差异（P＞0．05）。结论：卡托普利及氯沙坦对老年CHF治疗均有效，但氯沙坦不良反应发生率低，症状复发较少，使用方便。     

主动脉夹层超声诊断（附24例报告）

报告24例主动脉夹层（AorticDissectionAD）超声检查结果。合并高血压病12例、马凡氏综合征6例。经胸、腹超声诊断20例（83．2％），经食管超声诊断4例。按DeBakey分型Ⅰ型13例、Ⅱ型5例、Ⅲ型6例。71％病例存在中至重度主动脉瓣关闭不全。结果表明超声检查对主动脉夹层的受累部位、合并症和估测心功能可提供可靠资料，是诊断主动脉夹层较为理想的方法。经胸、腹和经食管超声检查结合起来能提高其诊断率。     

左室假腱索81例临床分析

本文报道在连续2084例常规2-DE 检查的患者:中检出 LVFT81例、96条,检出率为3.89%,其中35条(36%)是应用非常规切面检出的。经检查48例无器质性心脏病,25例存在心前区杂音,24例存在心律失常。本文说明:1)LVFT 在人群中较常见;2)多个切面探查可提高其检出率;3)LVFT 可为心脏杂音原因之一,与心律失常可能有关;4)有 LVFT 而无心脏杂音者推测与 LVFT 位置及左室内走行方向有关。     

硝普钠联合多巴胺治疗重症充血性心力衰竭的临床应用

我院自2003年1月起在常规治疗的基础上,加用硝普钠或硝普钠联合多巴胺治疗重症充血性心力衰竭（CHF）患者94例,均取得较好疗效,现报道如下。     

Clinical and familial study of arrhythmogenic right ventricular cardiomyopathy

Objective　To explore the characteristics of arrhythmogenic right ventricular cardiomyopathy (ARVC). Methods　Seven patients with arrhythmogenic right ventricular cardiomyopathy and 34 members of three families were studied. All patients and family members underwent history collection, clinical examination, electrocardiogram (ECG), two-dimensional echocardiography (2-DE) and a signal averaging electrocardiogram. Programmed ventricular stimulation was performed in five patients. Results　All patients and family members had normal morphologic characteristics and normal function of the left ventricular by 2-DE. Fourteen persons had abnormal findings indicating ARVC. Five had enlargement of the right ventricular with diffused hypocontractility, eight had thin and systolic bulging in the focal anterior wall with hypokinesia and one had bulging of the inferior wall. Twenty-five persons (seven patients and 18 family members) had abnormal findings in ECG. Positive ventricular late potential was recorded in 13 persons (six patients). Two to three monomorphic ventricular tachycardia (VT) with left bundle branch block (LBBB) configurations were induced in five patients. Ventricular fibrillation was induced in two patients during the electrophysiologic study (EPS). Five patients had very high pacing threshold and/or ineffective pacing in one or many regions of the right ventricle. Two members of one family died suddenly. One member was a dwarf with ARVC. Spontaneous VT with a left bundle branch block (LBBB) configuration was recorded in five patients, polymorphic VT with extremely short coupling interval in one, and premature ventricular complexes with LBBB configuration in 12 (six patients). Conclusion　Our familial study strongly suggests that ARVC may be a hereditary disease and it is helpful in the diagnosis and detection of ARVC. The most common manifestations were abnormal structure and function of the right ventricle and abnormal ECG of repolarization and ventricular arrhythmia which originates from the right ventricle.     

散在性主动脉瓣下狭窄的二维超声心动图诊断

应用二维超声心动图(2DE)诊断散在性主动脉瓣下狭窄(DSS)21例。年龄6～63岁(平均24岁)。DSS 分为三型:(1)隔膜型(9例);(2)纤维肌肉环型(9例);(3)纤维肌肉管道型(3例)。DSS 伴室间隔缺损3例,法乐四联症1例。2DE 对诊断DSS 是首选的非侵入性诊断方法。     

高血压患者椎动脉血流量的超声观察

高血压患者椎动脉血流量的超声观察第一附属医院心内科超声心动图室陈莉，许迪，陆凤翔，朱必顺，雍永宏，高岩关键词高血压，椎动脉血流量，超声检查中图号Ｒ５４４．１高血压病是一种以血压升高为主要表现的全身小动脉硬化性疾病，随着病情的发展，常累及脑、心、肾等脏...