摘要

Echocardiographic characteristics of the interventricular septum (IVS) have been studied in eight patients with chronic constrictive pericarditis (CP). Values of septal thickening (ST) were clearly below normal in all cases. Interventricular septal systolic motion (IVSSM) was normal in four cases, hypokinetic in three and paradoxical in one. In seven out of the eight patients, an early interventricular septal diastolic motion (IVSDM) consisting of a sudden anterior displacement followed by a brisk posterior rebound was recorded. The beginning of this anomalous movement was coincident with the pericardial knock in the phonocardiogram and its peak was coincident with the simultaneously recorded deep "y" trough in the jugular pulse tracing. The tendency toward normality of IVSDM observed after pericardiectomy in six out of seven patients suggests that this peculiar interventricular septal systolic motion may be a frequent and probably specific echocardiographic finding in constrictive pericarditis.

译文

对 8 例慢性缩窄性心包炎患者的室间隔超声心动图特征进行了研究。在所有病例中,间隔增厚值 (ST) 明显低于正常水平。室间隔收缩运动 (IVSSM) 4 例正常,3 例动力学减退,1 例自相矛盾。在八名患者中的七名中,记录了由突然的前移位和轻快的后反弹组成的早期室间隔舒张运动 (IVSDM)。这种异常运动的开始与心音图中的心包敲击一致,其峰值与颈静脉脉冲追踪中同时记录的深 “y” 槽一致。在的患者中,心包切除术后观察到 IVSDM 趋于正常,这表明这种特殊的室间隔收缩运动可能是缩窄性心包炎的常见且可能是特定的超声心动图发现。

chronic constrictive pericarditis

心血管 心包炎 疾病
概述  :  

慢性缩窄性心包炎是心包长期炎症的最终表现,导致心包密集纤维化、钙化,使壁层和脏层心包粘连,心室舒张期充盈受限、最终导致循环障碍的疾病。慢性缩窄性心包炎的病因在我国仍以结核性最常见,其他病因有特发性、放射性、外科手术后、感染性、肿瘤性、自身免疫(结缔组织)、尿毒症、创伤后、结节病、麦角新碱治疗、置人性除颤器电极片。临床表现1.常见的症状和体征为明显的右心衰竭伴正常或接近正常的射血分数。相对早期症状和体征包括下肢浮肿、腹部不适和一定程度肝淤血。当疾病发展至严重时,肝淤血加重可进展成显性黄疸、腹水

Chronic 英 [ˈkrɒnɪk]  美 [ˈkrɑːnɪk] 

释    义   adj. 慢性的;长期的;习惯性的

短    语   chronic disease [医]慢性病

chronic renal failure 慢性肾功能衰竭;慢性肾衰竭

同根词   词根 chronic

adv. chronically 长期地;慢性地;习惯性地

例    句   They think his illness is acute rather than chronic. 

他们认为他的病是急性的,不是慢性的。

 

Constrictive [kən'strɪktɪv] 

释    义   adj. 紧缩的;束紧的;压缩性的

例    句   Lumbar vertebra folds 1 place to be constrictive fracture, does organic still meeting stand walk? 

腰椎骨折1处为压缩性骨折,还有机会站立行走吗?。

 

Pericarditis 英 [,perɪkɑː'daɪtɪs]  美 [,pɛrɪkɑr'daɪtɪs] 

释    义   n. [内科] 心包炎

例    句   Increased CVP can be caused by pericarditis or right-sided heart failure. 

中心静脉压的升高可由心包炎或右心衰竭引起。


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