本文综述了临床上关于获得性心瓣膜病的影像学检查方法,并阐述了各方法的价值,费用和应用情况,最后提出了逐步诊断法。传统的X线胸片 疑有心瓣膜病时,除详细询问病史、全面体检和ECG检查外,还需拍胸片。胸片需包括二个平面,即后前位和侧位。它可了解心脏的大小和形态、肺血情况、肺和胸膜的变化及近心血管的状况。心脏横径与整个胸廊直径之比仍为判断心脏大小的实用方法。 This article summarizes the clinical imaging methods of acquired valvular heart disease, and expounds the value, cost and application of each method, and finally puts forward the stepwise diagnosis method. Traditional chest X-ray suspected valvular heart disease, in addition to detailed medical history, a comprehensive physical examination and ECG examination, the need to take a chest radiograph. Chest radiographs need to include two planes, the anteroposterior and lateral positions. It can understand the size and shape of the heart, pulmonary blood flow, lung and pleural changes and near cardiovascular conditions. The ratio of the diameter of the heart to the diameter of the entire chest is still a useful method of determining the size of the heart.