【摘要】 目的应用超声心动图观察克山病左室质量(LVM)及左室质量指数(LVMI),从而评价克山病患者的左室肥厚及左室重构情况。方法在黑龙江省克山病病区,对53例经病史、查体、X线摄影和心电图检查确认为克山病的患者行超声心动图检查,观察其左室质量及左室质量指数的变化,结果与对照组比较。结果克山病患者的LVM及LVMI明显增大(P<0.01)。患者的左室肥厚比例明显增高(P<0.01)。超声心动图对克山病患者的左室肥厚的检出率明显高于心电图(P<0.01)。结论克山病患者的LVM及LVMI明显增大,克山病患者中普遍存在着左室肥厚及左室重构。超声心动图能直观地观察克山病的LVM及LVMI,对克山病患者的左室肥厚及左室重构做出准确的评价。更多还原

【Abstract】 Objective To observe the left ventricular mass(LVM) and left ventricular mass index(LVMI) of patients with Keshan Disease(KSD) by echocardiography,aimed to assess the situation of left ventricular hypertrophy and left ventricular remodelling.Methods 53 patients diagnosed as KSD by history of disease,physical examination,X-ray films and electrocardiogram were checked by echocardiography to measure the LVM and LVMI.The result was compared with normal value of healthy group.Results The LVM and LVMI of KD patients were significantly higher than the healthy cases(P<0.01).The rate of left ventricular hypertrophy(LVH) of KSD patients was significantly higher than the healthy cases.The detection rate of LVH of KSD patients with echocardiography was significantly higher than that with the electrocardiogram.Conclusions The LVM and LVMI of KSD patients obviously increased.The LVH and left ventricular remodelling were universally existed in patients of KSD.The echocardiography can intuitively observe the LVM and LVMI and exactly evaluate the LVH and left ventricular remodelling of patients with Keshan Disease.更多还原