不同左房面积占房颤患者的比例及房颤相关疾病的回顾性研究
心房面积,,心房颤动；心房面积；风湿性心脏病；冠心病,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 探讨不同左房面积占房颤的比例,为临床提供精确可靠的治疗依据,降低房颤患者的致残率和病死率;同时分析统计房颤患者中各种心脏病发病的先后顺序。方法 对2004年7月～2005年6月39例经我院临床确认为持续性房颤超过5年的患者，接受经胸常规二维及多普勒超声显像，仔细测量心尖四腔心切面左心房和右心房的上下径与左右径，计算出面积；并将房颤相关疾病进行有序排列。结果 房颤患者中，左房轻度增大17例，占43.59%；中度增大3例，占7.69%；重度增大5例，占12.82%；合计25例，占64.10% 。房颤患者全中，各种心脏病所占的比例为：冠心病占30.77%；风心病占25.64%；冠心病合并高血压性心脏病占12.82%；高血压性心脏病占7.69%；肺心病占7.69%；其它心脏病占15.38%。结论 房颤患者左房轻度增大时(即2000mm2≤左房面积<3000mm2),尚处于良好的代偿状态,一旦突破这一期,处于中度增大的时间很短,左房急剧增大,进入重度增大期,增加了左房血栓的发生率,增加了致残率和病死率。在现有的房颤患者中,冠心病的发病率位居首位, 风心病次之,改变了以往风心病房颤率最高的状况。【关键词】 心房颤动；心房面积；风湿性心脏病；冠心病
Reviewed study of the proportion of different left atria area and the sequence of various cardiac diseases with atria fibrillation
HAO Jin-ling,WANG Jing-mei.
Benxi Jinshan Hospital,Liaoning 117000,China
【Abstract】 Objective To investigate the proportion of different left atria area with atria fibrillation,so that we can provide accurate dependably treating basis,reduce the rate of the disabled and the lethal;meanwhile,we analyzed and counted the sequence of various cardiac diseases with atria fibrillation.Methods Thirty-nine patients from July 2004 to June 2005,who came to our hospital and be defined atria fibrillation over five years,accepted two-dimensional and Doppler echocardiography.We surveyed out length and wide of left and right atrium on apical four-chamber view,calculated area;and queued up various cardiac diseases with atria fibrillation.Results In the patients with atria fibrillation,the persons whose left atrium enlarged gently were seventeen,43.59%;the persons whose left atrium enlarged moderately were three,7.69%;the persons whose left atrium enlarged heavily were five,12.82%;amount to twenty-five,64.10%.In the patients with atria fibrillation,the proportion of various cardiac diseases were:coronary cardiac disease,30.77%;rheumatic cardiac isease,25.64%;coronary merged high-blood-pressure cardiac diseases,12.82%;high-blood-pressure cardiac disease,7.69%;cor pulmonale,7.69%;other cardiac diseases,15.38%.Conclusion Patients with atria fibrillation were situated a well compensating phase when their left atrium enlarged gently.Once breakthrough this phase,the time when left atrium enlarged moderately was very short,left atrium was enlarged quickly,and entered heavily phase,increased the rate of the disabled and the lethal.In the patients with atria fibrillation at present,the rate of coronary cardiac disease is the first,rheumatic cardiac disease is the second.Its changed the state that rheumatic cardiac disease was the first before. ......
您现在查看是摘要页，全文长 7299 字符。