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目的研究甲状腺功能减退性心包积液的超声改变,并探讨超声心动图对甲状腺功能减退性心包积液的诊断价值。方法以19例甲状腺功能减退性心包积液的超声心动图改变与正常人对比。结果 19例甲状腺功能减退性心包积液组左房内径、室间隔厚度、左室后壁厚度与正常对照组比较差异有统计学意义(P<0.01),均无心包填塞发生。结论彩色多谱勒超声心动图对甲状腺功能减退性心包积液的诊断与鉴别诊断有重要意义,其中左房扩大、左室舒张功能不全多发。
Objective To study the ultrasonic changes of hypothyroidism pericardial effusion and to explore the diagnostic value of echocardiography for hypothyroidism pericardial effusion. Methods The echocardiographic changes of 19 patients with hypothyroidism pericardial effusion were compared with those of normal subjects. Results The left atrium, the thickness of the interventricular septum and the thickness of the posterior wall of the left ventricle in 19 patients with hypothyroidism were significantly different from those in the control group (P <0.01). No pericardial packing occurred. Conclusion The color Doppler echocardiography is of great significance in the diagnosis and differential diagnosis of hypothyroidism pericardial effusion. Among them, left atrium enlargement and left ventricular diastolic dysfunction occur frequently.