老年钙化性心瓣膜病的超声和临床表现研究
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摘要
目的研究老年钙化性心瓣膜病的超声和临床表现。方法选取我院2017年8月—2018年8月就诊的30例老年患者作为研究对象。采用回顾性分析的方法,对患者行心脏超声心动图检查。结果经30例患者检查结果比较分析发现,老年钙化性心瓣膜病患者6例,主动脉瓣钙化与硬化患者3例,主动脉瓣及二尖瓣环钙化患者1例,二尖瓣环钙化患者2例。结论伴随年龄的增长,发生心脏瓣膜钙化几率也会随之提高,尤其左侧心脏瓣膜,导致心脏形态、血液动力学和心脏结构都有所改变,使得心血管疾病形成与发展的几率不断提高。将超声心动图应用于老年患者超声检查中,具有较高的临床推广价值。
Objective To study the ultrasound and clinical manifestations of calcified valvular heart disease in the elderly. Methods 30 elderly patients in our hospital from August 2017 to August 2018 were selected as the study subjects. Retrospective analysis was used to examine the patients with echocardiography. Results The results of 30 patients were compared and analyzed. 6 elderly patients with calcified valvular disease, 3 patients with aortic valve calcification and sclerosis, 1 patient with aortic and mitral annular calcification, and 2 patients with mitral annular calcification were found. Conclusion With the increase of age, the probability of cardiac valve calcification will also increase, especially the left heart valve, leading to changes in cardiac morphology, hemodynamics and cardiac structure, making the formation and development of cardiovascular diseases increasing. The application of echocardiography in the ultrasonic examination of elderly patients has a high clinical value.
Objective To study the ultrasound and clinical manifestations of calcified valvular heart disease in the elderly. Methods 30 elderly patients in our hospital from August 2017 to August 2018 were selected as the study subjects. Retrospective analysis was used to examine the patients with echocardiography. Results The results of 30 patients were compared and analyzed. 6 elderly patients with calcified valvular disease, 3 patients with aortic valve calcification and sclerosis, 1 patient with aortic and mitral annular calcification, and 2 patients with mitral annular calcification were found. Conclusion With the increase of age, the probability of cardiac valve calcification will also increase, especially the left heart valve, leading to changes in cardiac morphology, hemodynamics and cardiac structure, making the formation and development of cardiovascular diseases increasing. The application of echocardiography in the ultrasonic examination of elderly patients has a high clinical value.
引文
[1]蒙振明,陈巧玲.超声心动图对老年钙化性心脏瓣膜病的诊断价值[J].蚌埠医学院学报,2016,32(6):793-796.
[2]朱曼.老年钙化性心脏瓣膜病诊断中超声心动图声像学表现分析[J].现代医用影像学,2018,15(1):279-280.
[3]周学刚.超声心动图在老年钙化性心脏瓣膜病诊断中的应用价值分析?[J].河北医学,2015,22(2):269-271.
[4]杨光平.老年性心脏瓣膜退行性病变的临床超声诊断研究[J].临床医药文献电子杂志,2016,17(42):8413.
[5]李香龙.老年心瓣膜退行性病变的超声诊断效果探讨[J].养生保健指南,2018,5(1):217.
[6]陈芳芳.彩色多普勒超声检查在老年退行性心脏瓣膜病临床诊断中应用[J].影像技术,2016,10(2):35-36,30.
[7]唐昂. 126例老年退行性心脏瓣膜病的彩色多普勒超声心动图结果分析[J].医学理论与实践,2015,38(8):1087-1088.
[8]李康,杨重庆,张瑞生,等.经胸超声心动图对老年患者左心瓣膜钙化诊断的准确性评价[J].中华老年医学杂志,2017,36(4):395-399.
[9]王本荣,彭夫松,杨磊磊,等.超声心动图在左心瓣膜钙化中的诊断价值[J].医学临床研究,2017,34(8):1508-1510.
[10]高建秋.老年钙化性心脏瓣膜病发病机制及超声诊断研究进展[J].海南医学院学报,2018,24(6):734-736.
[11]陈柯.老年钙化性心脏瓣膜病诊断中超声心动图的应用价值分析[J].中国急救医学,2017,14(z1):285-286.
[12]王丹辉,孙岩,韩桐师,等.超声心动图在老年钙化性心脏瓣膜病诊断中的应用价值分析[J].中西医结合心脑血管病杂志,2016,14(13):1449-1451.
[2]朱曼.老年钙化性心脏瓣膜病诊断中超声心动图声像学表现分析[J].现代医用影像学,2018,15(1):279-280.
[3]周学刚.超声心动图在老年钙化性心脏瓣膜病诊断中的应用价值分析?[J].河北医学,2015,22(2):269-271.
[4]杨光平.老年性心脏瓣膜退行性病变的临床超声诊断研究[J].临床医药文献电子杂志,2016,17(42):8413.
[5]李香龙.老年心瓣膜退行性病变的超声诊断效果探讨[J].养生保健指南,2018,5(1):217.
[6]陈芳芳.彩色多普勒超声检查在老年退行性心脏瓣膜病临床诊断中应用[J].影像技术,2016,10(2):35-36,30.
[7]唐昂. 126例老年退行性心脏瓣膜病的彩色多普勒超声心动图结果分析[J].医学理论与实践,2015,38(8):1087-1088.
[8]李康,杨重庆,张瑞生,等.经胸超声心动图对老年患者左心瓣膜钙化诊断的准确性评价[J].中华老年医学杂志,2017,36(4):395-399.
[9]王本荣,彭夫松,杨磊磊,等.超声心动图在左心瓣膜钙化中的诊断价值[J].医学临床研究,2017,34(8):1508-1510.
[10]高建秋.老年钙化性心脏瓣膜病发病机制及超声诊断研究进展[J].海南医学院学报,2018,24(6):734-736.
[11]陈柯.老年钙化性心脏瓣膜病诊断中超声心动图的应用价值分析[J].中国急救医学,2017,14(z1):285-286.
[12]王丹辉,孙岩,韩桐师,等.超声心动图在老年钙化性心脏瓣膜病诊断中的应用价值分析[J].中西医结合心脑血管病杂志,2016,14(13):1449-1451.