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老年退行性心瓣膜钙化是指老年人非风湿性及其他感染性疾病引起的心瓣膜退行性钙化改变。由于该病缺乏特征性临床表现和体征,易误诊和漏诊。笔者对二’维彩色多普勒超声证实的166例老年退行性心瓣膜病进行分析。 1 资料和方法 1.1 临床资料 166例病人为1991～1993年间门诊及住院患者。男135例,女31例;年龄40～84岁,平均年龄61.55岁。其中包括冠心病67例,高血压心脏病25例,脑梗塞6例,皆除外风湿性、先天性、梅毒性及感染性心瓣膜病。 1.2 方法 采用日本东芝公司SSH—65D二维彩色多普勒心动图仪。探头频率2.5及3.75兆赫。患者取仰卧或左侧卧位,常规取心脏长轴、短轴、大动脉短轴、四腔及五腔切面,仔细观察各瓣膜的形态、结构、启闭情况和各心腔内径的大小变化。若有瓣膜或瓣环增厚、钙化者,分别在各瓣膜区寻找异常血流信号,用脉冲多普勒和(或)连续
Aged degenerative heart valve calcification refers to the elderly non-rheumatic and other infectious diseases caused by valvular degenerative calcification. Due to the lack of characteristic clinical manifestations and signs of the disease, misdiagnosis and missed diagnosis. The author of the two-dimensional color Doppler ultrasound confirmed 166 cases of degenerative valvular heart disease. 1 Materials and Methods 1.1 Clinical data 166 patients for the 1991 to 1993 outpatient and inpatient. 135 males and 31 females; aged 40 to 84 years old, with an average age of 61.55 years. Including coronary heart disease in 67 cases, 25 cases of hypertensive heart disease, cerebral infarction in 6 cases, except for rheumatoid, congenital, syphilitic and infectious heart valve disease. 1.2 Methods Japan’s Toshiba SSH-65D two-dimensional color Doppler cardiograph. Probe frequency 2.5 and 3.75 MHz. Patient supine or left lateral position, the conventional long axis of the heart, short axis, aortic short axis, four chamber and five chamber section, carefully observe the valve shape, structure, opening and closing conditions and the size of the heart cavity diameter changes. If the valve or valve ring thickening, calcification, respectively, in the valve area to find abnormal blood flow signals, with pulsed Doppler and (or) continuous