首页 | 本学科首页   官方微博 | 高级检索  
     

超声心动图系列监测原位心脏移植后的临床研究
引用本文:何亚乐,侯跃双,姚桦,许燕,费洪文. 超声心动图系列监测原位心脏移植后的临床研究[J]. 中国超声医学杂志, 2006, 22(3): 226-228
作者姓名:何亚乐  侯跃双  姚桦  许燕  费洪文
作者单位:510100,广州市,广东省人民医院,广东省心血管病研究所超声心动图室
摘    要:目的探讨原位心脏移植术后超声心动图系列检测的临床意义。方法自1998年起7例心脏移植患者,定期超声心动图检查,必要时心肌活检。结果(1)吻合左右心房术后即出现二尖瓣、三尖瓣返流;心房大小与术后是否出现瓣膜返流直接相关;(2)急性排斥时最先出现右室扩大及新出现三尖瓣返流;心肌增厚、返流逐渐加重提示排斥反应;(3)慢性排斥可导致限制型心肌病。结论超声心动图可及时无创地监测排斥反应,为临床诊治提供重要的参考依据。

关 键 词:心脏移植  超声心动图  排斥反应
收稿时间:2005-09-13
修稿时间:2005-09-13

Clinical Serial Echocardiographic Study After Orthotopic Heart Transplantation
He Yale, Hou Yueshuang, Yao Hua, et al. Clinical Serial Echocardiographic Study After Orthotopic Heart Transplantation[J]. Chinese Journal of Ultrasound in Medicine, 2006, 22(3): 226-228
Authors:He Yale   Hou Yueshuang   Yao Hua   et al
Abstract:Objective To explore the clinical value of echocardiographic series study after orthotopic heart transplantation.Methods Surviving orthotopic cardiac transplantation in 7 patients have been studied with serial echocardiography and endomyocardial biopsy since 1998.Results(1)Donor-recipient atrial anastomosis caused the atriums enlarged and resulted in mitral and tricuspid valvular regurgitation.(2)The first echocardiographic sign of acute rejection was right ventricular expantion and appeared tricuspid new valvular regurgitation.Myocardium thickening and the gradually aggravated regurgitation indicated acute rejection.(3)Chronic rejection caused restrictive cardiomyopathy.Conclusions Serial study with echocardiography can supervise rejection in time and should be served as important references for clinic diagnosis of rejection and for suggesting corresponcdent treatment.
Keywords:Cardiac transplantation   Echocardiography   Rejection.
本文献已被 CNKI 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号