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心内膜心肌活检对心律失常病因的探讨

ENDOMYOCARDIAL BIOPSY IN THE STUDY OF PATHCGENESIS OF THE ARRHYTHMIAS

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【作者】 王丽君谢玉栋吴可光王之章姜卫国

【Author】 Wang Lijun, et al (Dept. of Internal Medicine, The Third Affiliated Hospital)

【机构】 中国医科大学附属第三医院内科中国医科大学附属第三医院病理科中国医科大学附属第三医院病理科

【摘要】 本文对77例心律失常病人进行心内膜心肌活检,结合病史、体征及实验室检查从组织学上对心律失常病因进行分析。我们认为,无心脏增大组心律失常以心肌炎为主,占55.8%,心脏增大组心律失常以心肌病为主,占73.5%。心律失常类型与心肌病变有关,对症状明显的心律失常病人进行心肌活检有助于心律失常的早期诊断和治疗。

【Abstract】 Seventy-seven patients with arrhythmias were studied by endemyocardial biopsy.The pathogenesis of arrhythmids was studied through histopathological findings combined with history, clinical features and laboratory examinations.In the group of patients without enlargement of the heart there were 55.8% manifested mainly with myocarditis, while cardiomyopathy was fourd in 73.5% of the cases with enlarged heart. The type of arrhythmias had there was some relationship between the type of arrhythmics and myocardial pathological changes. Thus in patients with dominant symptoms, the endomyocardial biopsy might facilitate the early diagnosis of arrhythmia and treatment as well.

【关键词】 心内膜心肌活检心律失常
【Key words】 endomyocardial biopsyarrhythmia
  • 【文献出处】 中国医科大学学报 ,Journal of China Medical University , 编辑部邮箱 ,1989年01期
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