彩色多普勒超声对风湿性心脏炎的诊断价值

目的探讨风湿性心脏炎时彩色多普勒超声心动图（ＣＤＥ）的诊断意义。方法对３８例年龄４－１６岁（平均年龄１０岁），按近期修订的Ｊｏｎｅｓ诊断标准及ＣＤＥ诊断为心内膜炎包括心瓣膜炎，心包炎、心肌炎者的临床资料及声像图进行分析。结果ＣＤＥ诊断膜病变３１例（８１％），而临床听诊仅１３例（３４％），故超声对辩膜病变的检出率明显较高，心包积液急性期５ｍｌ－１５ｍｌ，经２－８周治疗后积液明显减少，大多消失，心脏增

The diagnostic value of color doppler echocardiography on rheumatic carditis

Objective To investigate the diagnosis of rheumatic Carditis with coler doppler echocardiography (CDE). Methods The data of 38 patients (age 4-16 years old) with rheumatic carditis were analyzed. All the cases were diagnosed according to Jones' criteria and examined by CDE. Results The valval damage of 31 Cases were diagnosed by using CDE, Versus only 13 Cases were detected by stethoscopy. It indicated the CDE was much more sensitive than the latter. Pericardial effusion in acute phase was 5- 15ml,after 2 - 8 weeks treatment,the effusion was significantly decreased,and mostly disappeared. The heart enlargement (especially the left atria and left ventricules) was generally reduced in 2 - 4 weeks and restored to nomal in 6-18 months. However, the heart enlargement with clear valval damage took longer time to recover. Conclusion CDE increased the diagnostic rate of rheumatic carditis,and directly observed the pathologic change. So, it could help to diagnose in early period and assess prognosis of rheumatic carditis.