【摘要】 <正> 既往我所就心脏听诊与心音阁改变在克山病诊断上的意义已作过报导。本文专就38例亚急型克山病患儿的奔马律种类及其对本病的诊断与治疗意义探讨如下。更多还原

【Abstract】 On the basis of clinical auscultation and phonocardiogram recordings, thegallop rhythm was analyzed from 38 cases of subacute keshan disease, 25 ofthem were also observed by mechanocardiography, in order to understand cardiacfunctional conditions. The gallop rhythm in phonocardiogram was 92.1%, atrial gallop was 97.1%only one case was ventricular gallop. The authors thought that atrial gallop is early feature of heart hypofunct-ion in subacute keshan disease.As soon as atrial gallop appeared, the cardiachypofunction was proved.If suitable treatment was given in time, the heart fa-ilure would corrected very soon, atrial gallop might be dispeared. Objectivesigns of cardiac hypofunction (rate of′′A′′wave and ratio of PEP / LVET bymechanocardiogram) returned to normal. It has practical guiding significance indiagnosis of early cardiac hypofunction and in evaluating the effect of treat-ment subacute keshan disease.更多还原