| 肥厚型心肌病49例临床分析 |
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| 引用本文： | 余秉东,胡建华,贾绍斌,张学虎.肥厚型心肌病49例临床分析[J].宁夏医学杂志,2009,31(2):127-128. |
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| 作者姓名： | 余秉东 胡建华 贾绍斌 张学虎 |
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| 作者单位： | 1. 宁夏医科大学附属医院,宁夏,银川,750004
2. 湖北省郧西县人民医院,湖北,郧西,442600 |
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| 摘 要： | 目的分析肥厚型心肌病（HCM）的临床表现和辅助检查特点，以探索更合理的诊断方法。方法总结49例HCM住院病人的临床表现、心电图（ECG）、超声心动图（UCG）、核素心肌断层显像、磁共振（MRI）、冠状动脉和左室造影术（CAG4-LVG）特点。结果49例ECG均为窦性心律，其中4例正常，45例分别表现为左室高电压、ST—T改变、T波深倒而双肢对称、Q波窄而深及各种心律失常，6例心尖部肥厚型心肌病（AHCM）患者ECG显示V3-5R波振幅增高伴V2-6对称性明显倒置T波；49例UCG检查发现室间隔、心尖部不对称增厚；14例核素心肌断层显像检查发现核素分布异常；7例MRI均显示室间隔或心尖部心肌肥厚，室间隔最厚可达30mm。结论凡中、青年患者出现不典型胸痛、晕厥，体格检查发现有心前区收缩期杂音伴第三心音和（或）第四心音，ECG有缺血性ST—T改变和（或）异常Q波，但临床上难以用冠心病、高血压病和心瓣膜病来解释者，应考虑HCM，进一步UCG常规检查可以明确。近年来冠脉多排螺旋CT（MSCT）对HCM与冠心病的鉴别诊断有独到的优势。
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| 关 键 词： | 肥厚型心肌病 诊断 |
Clinical diagnosis of 49 cases with hypertrophic cardiomyopathy |
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| YU Bing-dong,et al..Clinical diagnosis of 49 cases with hypertrophic cardiomyopathy[J].Ningxia Medical Journal,2009,31(2):127-128. |
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| Authors: | YU Bing-dong |
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| Institution: | The Affiliated Hospital of Ningxia Medical University;Yinchuan 750004;China |
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| Abstract: | Objective To study the clinical characteristics of 49 cases with hypertrophic cardiomyopathy (HCM) and improve the clinical diagnosis of HCM. Methods 49 cases hospitalized with HCM during Jan. 2002 to Feb. 2008 were studied by with clinical characteristics, electrocardiography (ECG), echocardiography, radionuclide myocardial scanning, magnetic resonance imaging (MRI), coronary angiography (CAG) and left ventriculography (LVG).Results 49 cases were all sinus rhythm but only 4 cases have normal ECG, and ECG s... |
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| Keywords: | Hypertrophic cardiomyopathy Diagnosis |
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