| 李旭霞,张宏,张宁.超声心动图诊断甲状腺功能亢进性心脏病[J].中国医学影像技术,2010,26(12):2278~2280 |
| 超声心动图诊断甲状腺功能亢进性心脏病 |
| Echocardiography in diagnosis of hyperthyroid cardiac disease |
| 投稿时间：2010-07-14 修订日期：2010-08-08 |
| DOI： |
| 中文关键词: 超声心动描记术 甲状腺功能亢进症 |
| 英文关键词:Echocardiography Hyperthyroidism |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨甲状腺功能亢进症(甲亢)的超声心动图表现。方法 回顾分析282例甲亢患者(包括单纯甲亢及甲亢性心脏病患者)的超声心动图资料,与100名正常对照者(对照组)相比较,并做统计学分析。结果 单纯甲亢患者的左心室射血分数(LVEF)高于对照组(P<0.01),二尖瓣、主动脉瓣及肺动脉瓣的前向血流速度高于对照组(P<0.01),左心房、左心室及右心室大小与对照组差异无统计学意义(P>0.05);并发甲亢性心脏病时,LVEF、二尖瓣、主动脉瓣及肺动脉瓣的前向血流速度与对照组比较早期无明显差异,晚期低于对照组,早期A/E值增加(P<0.01),左心房、左心室及右心室腔大小与对照组比较差异有统计学意义(P<0.01)。结论 超声心动图能够及时发现甲亢患者的心内结构及功能改变,可作为指导临床早期诊断和治疗的常规检查手段。 |
| 英文摘要: |
| Objective To observe the echocardiographic performances of hyperthyroidism patients. Methods Echocardiographic data of 282 patients with hyperthyroidism (including simple hyperthyroid patients and the patients with hyperthyroid heart disease) and 100 normal subjects (control group) were analyzed and compared statistically. Results Ejection fraction of left ventricular (LVEF) and the forward flow velocity of mitral valve, aortic valve and pulmonary valve in simple hyperthyroid patients were higher than those in the control group (P<0.01). Left atrial ventricular cavity size and right ventricular size had no significant difference compared with those of control group (P>0.05). While complicated hyperthyroid heart disease, LVEF and the forward flow velocity of mitral valve, aortic valve as well as of pulmonary valve were not significantly different, but became lower with time going compared with those of control group. Meanwhile, A/E values increased (P<0.01), but the size of left atrial ventricular cavity and right ventricular were not significantly different (P<0.01) in the early stage of hyperthyroid heart disease compared with those of control group. Conclusion Echocardiography can dispict hyperthyroid heart structure and function change, contributing to early diagnosis and clinical treatment of this disease. |
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