238例慢性肾功能衰竭患者心脏损害的超声心动图表现

The Echocardiograpllic Features of Cardiac Damages in 238 Cases of Chronic Renal Failure

回顾分析238例慢性肾功能衰竭患者的超声心动图资料,发现心包积液94例(39.5%),多为少至中等量积液。心脏各腔室异常改变210例(88.2%),受损多为左房、左室扩大,室间隔和左室后壁增厚。办膜返流142例(59.6%),以轻、中度返流为主,主要为二尖瓣、三尖瓣,其次为主动脉瓣返流。左室功能测定结果为舒张功能显著隆低。同时分析了X线和心电图检查,结果发现超声心动图诊断慢性肾功能衰竭心脏损害方面远比X线、心电图检查敏感。

The echocardiography features of 238 cases of chronic renal failure were reviewed to assess the cardiac damages in these cases. Pericardial effusion was detected in 94 cases (39. 5%) showing a little or moderate amount of fluid in most of the cases. Abnormal changes of various cardiac anonomalities were found in 210 cases (88. 2%):left atrium dilated of most cases, left ventricle enlarged interventricular septum and the posterior wall of the left ventricle ehickened. etc. Valvular regurgitation was found in 142 cases (59. 6%),Most cases, only mild or moderate regurgitation was found. Mitral regurgitation, tricuspid regurgitation and aortic regurgitation were found in decreasing frequency as the arrangement order. The diastolic function of the left ventricle was obviously decreased. The X - ray and ECG findings were both analyzed. It is concluded that echocardiography is far more sensitive in the assessment of cardiac damages in cases of chronic renal failure than X -ray examination and ECG.