论文部分内容阅读
1981年Nishimura报告用二维超声心动图诊断5例左心室假腱,引起了心脏科医生和超声工作者的重视,对其临床意义正在进行深入探讨。现将我院遇到的2例左心室假腱引起的室性早搏报告于下: 例1:男,46岁,工人。反复发作性心悸14年,多于安静或卧位时发生,活动后减少或消失。多次心电图检查亦频发室性早搏。曾先后用慢心律、心得安、乙胺碘呋酮和复方丹参等治疗无效。病人无心前区疼痛,呼吸困难及水肿。体检:血压110/70、心界不大、心率76次,律齐、未闻杂音。心电图:窦性心律、频发室性早搏。心脏正侧位片,血糖及血脂分析均正常。1986年6月2日二维超声心动图:各腔室在正常范围,但在左室腔内从室间隔中上段处到后乳头肌旁室壁间可见反射略强的线样回声。诊断:左心室假腱。
1981 Nishimura report using two-dimensional echocardiography diagnosis of 5 cases of left ventricular tendon, caused by cardiologists and ultrasound workers attention, its clinical significance is being explored in depth. Now in our hospital encountered 2 cases of premature ventricular contractions caused by left ventricular tendon reported in the next: Example 1: male, 46 years old, workers. Repeated episodes of palpitations 14 years, more than when quiet or lying down, reduce or disappear after the event. Multiple electrocardiogram also frequent premature ventricular contractions. Has used slow heart rhythm, propranolol, amiodarone and amifostine and other treatment ineffective. No pain in patients with pre-heart area, difficulty breathing and edema. Physical examination: blood pressure 110/70, heart is not big, heart rate 76 times, law Qi, no unheard noise. ECG: sinus rhythm, frequent premature ventricular contractions. The heart is a lateral film, blood glucose and blood lipids were normal. June 2, 1986 Two-dimensional echocardiography: Each chamber is in the normal range, but a slightly more linear echo is seen in the left ventricular chamber from the upper midsection to the posterior papillary muscle. Diagnosis: Left ventricular tendon.