肥厚型心肌病的诊断体会

Diagnosis realization of hypertrophic cardiomyopathy

目的分析肥厚型心肌病的诊断与鉴别诊断思路与方法。方法对2010年3月～2012年12月在我院就诊收治的肥厚型心肌病36例患者,所有病例均通过超声心动图进行确诊。通过对该36例患者的临床表现、心电图记录及超声心动图检查进行回顾性分析、观察、总结出肥厚型心肌病的临床及心电图特点和诊断与鉴别诊断方法,进一步采用超声心动图确诊。结果根据对36例患者的病例资料回顾性分析显示,本组患者中梗阻性肥厚型心肌病者16例,非梗阻性肥厚型心肌病者10例,心尖肥厚型心肌病10例。由此可见,心肌肥厚型心肌病也不少见。结论根据肥厚型心肌病患者的临床表现,心电图及动态心电图,超声心动图作出准确的诊断对于患者的治疗以及预后有着重要的意义。

Objective To analyze and investigate the ideas and methods of diagnosis and differential diagnosis of hypertrophic cardiomyopathy. Methods 36 eases with hypertrophic cardiomyopathy collected from March 2010 to December 2012 in our hospital were made definite diagnosis by ultrasonic cardiogram. The clinical features,electrocardiogram characteristics and the methods of diagnosis and differential diagnosis of hypertrophic cardiomyopathy were observed and summarized and ultrasonic cardiogram was further used for making definite diagnosis through analyzing retrospectively the clinical features,electrocardiogram record and ultrasonic cardiogram of 36 cases with hypertrophic cardiomyopathy. Results According to the retrospective analysis of the datas of 36 cases,16 cases had obstructive hypertrophic cardiomyopathy,10 cases had non-obstructive hypertrophic cardiomyopathy and 10 cases had apical hypertrophic cardiomyopathy. On the face of it,the cardiac hypertrophy cardiomyopathy was not uncommon. Conclusion It has important significance for the treatment and prognosis of patients that ultrasonic cardiogram make definite diagnosis according to the clinical features,electrocardiogram and dynamic electrocardiogram of patients with hypertrophic cardiomyopathy.