论文部分内容阅读
目的对３例重症克山病患者同种原位心脏移植术后进行监测，探讨心脏移植术后急性排异反应的监测指标。方法监测指标：临床症状；１２导联心电图；超声心动图；单光子计算机体层扫描；外周血Ｔ淋巴细胞检查；心内膜心肌活检；Ｘ线影像。结果行ＥＭＢ１９次，发现１ｂ级和２级各１次，３ａ级２次。３ａ级时ＵＣＧ发现心包积液有增加趋势，其余指标未见明显改变。结论心内膜心肌活检是诊断急性排异反应敏感可靠的指标，其它一些常用的指标不敏感且缺乏特异性，但可做为辅助指标。
Objective To monitor the status of acute rejection in three patients with severe Keshan disease after cardiac transplantation. Methods Monitoring indicators: clinical symptoms; 12-lead electrocardiogram; echocardiography; single photon computed tomography; peripheral blood T lymphocyte examination; endomyocardial biopsy; X-ray images. The results of EMB19 line, found that the first and second level of 1, 3, 2 times. 3a grade UCG found pericardial effusion has an increasing trend, the remaining indicators no significant change. Conclusion Endomyocardial biopsy is a sensitive and reliable indicator for the diagnosis of acute rejection. Some other commonly used indexes are not sensitive and specific, but can be used as auxiliary indicators.