经胸超声心动图对心脏创伤诊断价值

发布时间：2018-02-07 11:56

本文关键词： 超声心动描记术心脏创伤诊断　出处：《中国超声医学杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的本研究旨在评估经胸超声心动图在心脏创伤中的应用价值。方法回顾性分析15例心脏创伤患者的临床资料和超声心动图影像资料,超声诊断与手术结果进行比较。结果超声心动图检出心包积液13例,其中9例伴血凝块形成,右室侧壁穿孔1例,三尖瓣腱索断裂伴重度三尖瓣反流1例,二尖瓣腱索断裂伴后叶穿孔1例,室间隔穿孔2例,金属异物存留1例,主动脉右冠瓣脱垂1例,右冠窦-右室分流1例。超声心动图对瓣膜损伤、室间隔穿孔、心包积液及异物存留的诊断与手术结果完全符合。漏诊右室壁穿孔4例,右室挫伤2例,右房壁穿孔2例,升主动脉近端壁血肿1例。结论超声心动图检查是诊断心脏创伤快捷、有效的方法,且能在床旁进行急诊检查,对诊断心脏创伤诊断具有重要临床价值,并指导临床治疗。
[Abstract]:Objective to evaluate the value of transthoracic echocardiography in cardiac trauma. Methods the clinical and echocardiographic data of 15 patients with cardiac trauma were retrospectively analyzed. Results 13 cases of pericardial effusion were detected by echocardiography, including 9 cases with hemagglutination, 1 case with perforation of the lateral wall of right ventricle, 1 case with severe tricuspid regurgitation, and 1 case with rupture of tricuspid chordae tendineae with severe tricuspid regurgitation. There were 1 case of rupture of mitral chordae tendineae with posterior lobe perforation, 2 cases of ventricular septal perforation, 1 case of metal foreign body, 1 case of aortic right coronal valve prolapse, 1 case of right coronary sinusoidal shunt, 1 case of right coronary sinus to right ventricular shunt. The diagnosis of pericardial effusion and foreign body retention was in good agreement with the operative results. 4 cases of right ventricular wall perforation, 2 cases of right ventricular contusion, 2 cases of right atrial wall perforation, and 2 cases of right ventricular wall perforation. Conclusion Echocardiography is a quick and effective method in the diagnosis of cardiac trauma and can be used in emergency examination beside the bed. It has important clinical value in diagnosing cardiac trauma and guiding clinical treatment.
【作者单位】：福建医科大学附属泉州第一医院超声心动图室;
【分类号】：R540.45;R654.2

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