【摘要】 目的 探讨风湿性心脏炎时彩色多普勒超声心动图(CDE)的诊断意义。方法 对38例年龄4～16岁(平均年龄10岁),按近期修订的Jones诊断标准及CDE诊断为心内膜炎包括心瓣膜炎、心包炎、心肌炎者的临床资料及声像图进行分析。结果 CDE诊断瓣膜病变31例(81％),而临床听诊仅13例(34％),故超声对辩膜病变的检出率明显较高。心包积液急性期5ml～15ml,经2～8周治疗后积液明显减少,大多消失。心脏增大(特别是左房、左室)多在2～4周缩小,6～18个月恢复正常,但伴明显瓣膜损害者则较其它病例恢复时间延长。结论 彩超可提高风湿性心脏炎的诊断率,并可对病变部位及它的变化进行直接观察,有助本病的及时诊断,此外对愈后的评价也具有重要价值。更多还原

【Abstract】 Objective To investigate the diagnosis of rheumatic Carditis with coler doppler echocardiography (CDE). Methods The data of 38 patients (age 4-16 years old) with rheumatic carditis were analyzed. All the cases were diagnosed according to Jones’ criteria and examined by CDE. Results The valval damage of 31 Cases were diagnosed by using CDE, Versus only 13 Cases were detected by stethoscopy. It indicated the CDE was much more sensitive than the latter. Pericardial effusion in acute phase was 5-15ml,after 2 - 8 weeks treatment,the effusion was significantly decreased,and mostly disappeared. The heart enlargement (especially the left atria and left ventricules) was generally reduced in 2 - 4 weeks and restored to nomal in 6-18 months. However, the heart enlargement with clear valval damage took longer time to recover. Conclusion CDE increased the diagnostic rate of rheumatic carditis,and directly observed the pathologic change. So, it could help to diagnose in early period and assess prognosis of rheumatic carditis.更多还原