缩窄性心包炎的超声心动图诊断——附15例临床分析

The Diagnosis of Constrictive Pericarditis by Echocardiography——15 Cases were Analysed Clinically

目的：探讨超声心动图对缩窄性心包炎诊断及鉴别诊断的价值。方法：回顾性研究总结我院超声心动图诊断、手术证实、资料完整的缩窄性心包炎１５例，分析其超声心动图特征，并与手术结果对照。结果：缩窄性心包炎的超声心动图特征主要为心包增厚；心脏活动受限；左、右心房增大；左室缩小或正常；ＤＡ－ＤＶ＞２０ｍｍ；下腔静脉增宽且不随呼吸变化；舒张早期心室快速充盈等。

Objective:The value of constrictive pericarditis diagnosis and differential diagnosis by echocardiography was discussed.Methods:15 patients with contrictive periarditis who were dignosed by echocardiography verified by operation and collected completely was studied. The characteristic of echocardiography was mainly analysed and compared with the result of operation. Results:The characteristic of echocardiography on constrictive pericarditis was that pericardium was thicked; the action of heart was limited; both left and right atria were enlarge; Left ventricular was normal or decreased; inferior vena cava became wide and was not changed with respiration; DADV>20mm, and ventricular was filled rapidly during early diastolic peroid. Conclusion:Echocardiography is a firstly method for dignosing nonivasively constritive pericarditis.