超声心动图检出心包积液的临床意义探讨

本文报告了应用超声心动图诊断心包积液54例。其中大量积液15例,中等量积液25例,小量积液14例。54例当中有17例作了两维超声心动图检查,从左室长轴和短轴切面观,均清晰地显示了心包积液的空间分布。在上述54例当中仅27例是通过体检、心电图和X线检查诊断的。因此,应用超声心动图能够大大提高心包积液的检出率。在估计心包积液的量方面,特别是在很小量积液时,超声心动图检查也是有显著的价值。并且认为当慢性风湿性瓣膜病患者有肯定的心包积液存在时,超声心动图检查是确定风湿活动的一项有价值的诊断指标。

Clinical Significance of Echocardiographic Examination in Diagnosis of Pericardial Effusion

This article reported 54 cases of pericardial effusion diagnosed by echocardiography. There were marked effusion in 15 eases, moderate effusion in 25 cases, and mild effusion in 14 cases. Seventeen of 54 cases were also examined by two-dimensional echocardiography, all showed distinct distributing spaces of pericardial effusion from long axis and short axis sectional view of the left ventricle. Among the abovementioned 54 cases, only 27 cases were diagnosed by methods other than echocardiography, which consisted of physical, electrocardiographic and X-ray examination. Therefore, the detectable rate of perieardial effusion can be considerable raised by echocardiography. In assessment of the magnitude of pericardial effusion, echocardiographic examination also has its notable value, especially in least amount of fluid. It was suggested that the theeehocardiographic examination is a valuable tool for establishing the diagnosis of active rheumatism when the patient is suffering from chronic rheumatic valvular disease with unsuspected pericardial effusion.