老年人冠心病房颤与左房内径关系的探讨

首都医科大学学报 ›› 1997, Vol. 18 ›› Issue (2): 122-124.

老年人冠心病房颤与左房内径关系的探讨

李光美¹, 丁五麟²

北京市复兴医院干部保健科

收稿日期:1997-01-15 修回日期:1900-01-01 出版日期:1997-04-15 发布日期:1997-04-15

Exploration on Relationship between Cronary Heart Disease of Aged People and Left Atrium Diameter of the Patients Heart

Li Guangmei¹, Ding Wulin²

Veteran Cadre Health Care Department, Fuxing Hospital Echocardiography Department, Fuxing Hospital

Received:1997-01-15 Revised:1900-01-01 Online:1997-04-15 Published:1997-04-15

摘要/Abstract

摘要： 冠心病病人100例,根据临床症状分为3组:冠心病窦性心律组、冠心病阵发房颤组和冠心病持续房颤组.使用彩色多普勒超声诊断仪,检测3组患者的左房内径与二尖瓣返流.结果显示窦性心律组的左房内径与房颤组相比有显着性差异(P<0.05).随着左房内径的增大,二尖瓣返流的发生率不断增加.结果提示,临床上应积极控制阵发房颤的发作,以防止心肌缺血缺氧的加重.超声心动图是监测左房内径及二尖瓣返流动态改变的简便、易行的检查手段之一.

关键词: 左房内径, 二尖瓣返流, 心房颤动

Abstract: One hundred cases of coronary heart disease were divided into the following three groups: CHDsinus rhythm group,paroxysmal Af group and permanent Af group. Results showed that the LADvalue of group 1 is shorter than that of group 2 with significant statistical difference(P<0.05).The occurrence of mitral regurgitation increases with the increase of LAD. The result of this article suggests that when paroxysmal atrial fibrillation(Af)happens in clinics, active measures should be taken to control the attack so as to prevent the worsening of ischemia and hypoxia of the patients' heart. Colour Doppler echocardiographic instrument is one of the simple and easy to operate means for dynamic inspection of LADand mitral regurgitation changes.

Key words: left atrium diameter(LAD), mitral regurgitation, atrium fibrillation

中图分类号:

R541.4

李光美;丁五麟. 老年人冠心病房颤与左房内径关系的探讨[J]. 首都医科大学学报, 1997, 18(2): 122-124.

Li Guangmei;Ding Wulin. Exploration on Relationship between Cronary Heart Disease of Aged People and Left Atrium Diameter of the Patients Heart[J]. Journal of Capital Medical University, 1997, 18(2): 122-124.

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