摘要
目的探讨老年性退行性瓣膜病 (DCVD)超声心动图与临床特点。方法采用HP2 0 0 0型彩色多普勒超声诊断仪对伴有心悸、气短或心律失常的 34 3例 6 0岁以上老年患者以及 12 5例 5 0～5 9岁老年前期患者进行心脏探查。结果DCVD检出率为 5 2 48% ,并随年龄增长而增高 ,80岁以后检出率显著增高 ,性别差异不显著。瓣膜损害以主动脉瓣轻度钙化及轻度关闭不全最多见 ,可合并房室扩大、心律失常及心力衰竭。DCVD合并高血压、冠心病者显著多于合并肺心病者。老年前期组瓣膜损害发生率及严重程度低于老年组。结论DCVD老年前期即可发病 ,临床表现缺乏特异性 ,与高血压、冠心病关系密切 ,瓣膜损害及瓣膜功能失调多为轻度 ,超声心动图可作为常规检查手段。
Objective To discuss the supersonic cardiogram and clinical features of degenerative calcific valvular disease(DCVD) in the elderly.Methods 343 cases (over 60 years old) and 125 cases (50～59 years old,early stage of senile patients),which have palpitation, asthma orarrhythmia were examined by Hp 2000 Colorful Doppler supersonic diagnostic set. Results The incidence of DCVD was 52.48%,with the growth of the age,it goes up.Obviously,the incidecne of DCVD in the patients over 80 years old was markedly increased. The valvular lesions of common complication were slight calcification,regurgitation of aortic valve,and the enlargement of the atrium,ventricle,arrhythmia and heart failure.DCVD with hypertension,coronary atherosclerotic heart disease was much more than that with cor pulmonale heart disease.Conclusions DCVD may occur in the early stage,lacking of distinctive clinical characters,has a close connection with hyterension and coronary atherosclerotic heart disease.
出处
《贵州医药》
CAS
2001年第8期679-682,共4页
Guizhou Medical Journal
