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目的 探讨充血型缺血性心肌病X线表现。方法 对 33例充血型缺血性心肌病X线心脏表现进行回顾性分析。结果 心脏中度增大占 57.6 % ,重度增大占 42 .4 % ;心脏增大的形态中主动脉型占 78.8% ,普大型占 2 1 .2 % ;左室增大占 1 0 0 % ,左房增大占 72 .7% ,少数右房室增大。结论 充血型缺血性心肌病X线心脏表现多数为以左室增大为主的主动脉型 ,少数为普大型 ,缺乏特征性 ,在结合临床资料的基础上 ,X线可作出诊断。
Objective To investigate the X-ray findings of hyperaemic ischemic cardiomyopathy. Methods 33 cases of congestive ischemic cardiomyopathy were retrospectively analyzed. Results The moderate increase of the heart accounted for 57.6% and the severe increase accounted for 42.4%. The aorta of the enlarged heart accounted for 78.8%, the generalized type accounted for 21.2%, and the left ventricular enlargement accounted for 100% , Left atrial enlargement accounted for 72.7%, a small number of right atrium increased. Conclusions The majority of X-ray cardiac manifestations of hyperaemic ischemic cardiomyopathy are aortic type with predominantly left ventricular enlargement. A few are generalized and lack characteristic. Based on the clinical data, X-ray diagnosis can be made.