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成人高原性心脏病18例临床病理观察
引用本文:王端荣 胡爱侠. 成人高原性心脏病18例临床病理观察[J]. 解放军医学杂志, 1991, 16(2): 91-94
作者姓名:王端荣 胡爱侠
作者单位:成都军区西藏总医院(王端荣),成都军区西藏总医院(胡爱侠)
摘    要:

关 键 词:心脏病 病理 高原性

A CLINICOPATHOLOGIC OBSERVATION OF HIGH ALTITUDE HEART DISEASE IN 18 ADULT CASES
Wang Duanrong,Hu Aixia. A CLINICOPATHOLOGIC OBSERVATION OF HIGH ALTITUDE HEART DISEASE IN 18 ADULT CASES[J]. Medical Journal of Chinese People's Liberation Army, 1991, 16(2): 91-94
Authors:Wang Duanrong  Hu Aixia
Affiliation:Wang Duanrong,Hu Aixia. Department of Pathology. General Hospital of Xizang Command,Lasa
Abstract:This paper reports pathologic changes in 18 cases of high altitude heart disease in adult. Its cli-nicopathological features, diagnostic criteria and differential diagnosis from Ke-shan disease, coronary heart disease and hypertensive heart disease were discussed.Of the 18 patients, 17 were Hans, and 17 were males. The Hans had settled in high altitude(3658-5000m) for 1-8 years. The hearts were enlarged and increased in weight. They weighed 400-510g in 13 cases. Both ventricles were hypertrophic in 14 cases. Microscopically, necrosis and scarring were found mainly in the papillary muscles (15/18) and the ventricular wall (9/10) of the right and left ventricles.As regards the pathogenesis, the auther believes that myocardial damage due to chronic hypoxia should be stressed. Early diagnosis and treatment are important.
Keywords:High altitud heart disease Hypoxia
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