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肥厚性心肌病心肌肥厚部位意义的初步探讨
引用本文:颜卫东,柯元南,胡镇祥,张小平.肥厚性心肌病心肌肥厚部位意义的初步探讨[J].中日友好医院学报,1987(4).
作者姓名:颜卫东  柯元南  胡镇祥  张小平
作者单位:北京医科大学附属第三医院内科(颜卫东),中日友好医院心脏内科(柯元南),中日友好医院超声波科(胡镇祥)
摘    要:本文总结了24例肥厚性心肌病,对其肥厚的部位以及临床意义进行了初步的探讨。指出:①肥厚性心肌病根据心肌肥厚部位的不同,可以分成室间隔肥厚、心室中部肥厚和心尖肥厚三种不同亚型;②由于心肌肥厚部位的不同,三种亚型之间存在显著不同的临床表现、心电图和超声心动图特征;③梗阻型室间隔厚度与非梗阻型相比,无显著差异,但梗阻型心肌肥厚的范围可能较广;④二维超声心动图是确定心肌肥厚部位的重要手段和方法。

关 键 词:肥厚性心肌病  室间隔肥厚  心室中部肥厚  心尖肥厚

THE SIGNIFICANCE OF THE SITE OF VENTRICULAR HYPERTROPHY IN HYPERTROPHIC CARDIOMYOPATHY
Yan Weidong,et al.THE SIGNIFICANCE OF THE SITE OF VENTRICULAR HYPERTROPHY IN HYPERTROPHIC CARDIOMYOPATHY[J].Journal of China-Japan Friendship Hospital,1987(4).
Authors:Yan Weidong  
Institution:Department of Cardiology
Abstract:The site of ventricular hypertrophy and its significance were studied in 24 cases with hypertrophic cardiomyopathy (HCK). The results iudicated that (1) HCM might be classified into three subgwoups:septal hypertrophy, midventricular hypertrophy and apical hypertrophy, (2) the clinical manifest ations, EGG and UCG findings might be different in these subgroups, (3) no significant difference was found in the thickness of the interventricular septum among HIOCM and HNCM but the former might have more extensive septal hypertrophy than the later, (4) two-dimensional echocardiography was considered to be the most useful measure to determine the site of ventricular hypertrophy.
Keywords:hypertrophic cardiomyopathy  septal hypertrophy  mid-ventricular hypertrophy  apical hypertrophy
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