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风湿性心脏病心肌透明质酸含量与心肌病理改变及心功能变化的关系
引用本文:钱伟,张宝仁,蔡凯华,陈如坤,郝家骅,武士英,谭金兴.风湿性心脏病心肌透明质酸含量与心肌病理改变及心功能变化的关系[J].第二军医大学学报,1992(4).
作者姓名:钱伟  张宝仁  蔡凯华  陈如坤  郝家骅  武士英  谭金兴
作者单位:长海医院胸心外科 200433 (钱伟,张宝仁,陈如坤,郝家骅,武士英),长海医院病理科 200433 (蔡凯华),第二军医大学训练部病理生理学教研室 2100433(谭金兴)
摘    要:采用放射免疫测定法观察风湿性二尖瓣病变患者心肌透明质酸(HA)含量的变化以及HA与心肌病理改变和心功能之间的关系。结果表明风湿性心脏病(RHD)患者心肌HA含量明显增高,而且HAR的变化可反映心肌的病理改变程度,尤其是心肌间质纤维组织增生的严重程度;在临床上心肌HA含量的高低与换瓣术后心功能的恢复密切相关,表明HA是一项预测风心病换瓣术后疗效的指标。

关 键 词:心脏病  风湿性  透明质酸  心肌  病理学  心室功能  患者

Relationship between Myocardial Hyaluronic Acid Content and Both Myocardial Pathological Lesion and Cardiac Function in Rheumatk Heart Disease
Qian Wei,Zhang Baoren,Cai Kaihua,Chen Rukun,Hao Jiahua,Wu Shiying,Tan Jinxing.Relationship between Myocardial Hyaluronic Acid Content and Both Myocardial Pathological Lesion and Cardiac Function in Rheumatk Heart Disease[J].Academic Journal of Second Military Medical University,1992(4).
Authors:Qian Wei  Zhang Baoren  Cai Kaihua  Chen Rukun  Hao Jiahua  Wu Shiying  Tan Jinxing
Abstract:Myccardial concentration of hyaluronic add (HA) was measured by radioimmunoassay in 25 patients with rheumatic mitral valve disease. The relationship between the HA content and both the myuccardial pathological lesion and cardiac function were studied The results showed that myocardial HA content increased significantly in rheumatic heart disease, and could reflect myocardial pathological lesion, especially, explain the severity of the proliferation of intramyocardial fibrous tissue. On the other hand, myocardial HA content correlated strongly with the changes of cardiac function. Myocardial HA content may be useful for predicting prognosis of valve replacement
Keywords:heart disease  rheumatic  hyaluronic arid  myocardium  pathology  ventricular function  patients
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