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心脏杂音,心电图R波高电压,心脏外形异常是招飞体检中经常遇到且难以结论的问题。笔者就不能排除病理性杂音者54人,R波高电压者24人,心脏投影异常者13人,进行超声心动图检查,以左室收缩末期及舒张末期内径、右室壁厚度、室间膈厚度、右室及主动脉内径等为主要指标进行核察,结果仅因左室腔大淘汰1名,因心胸比大淘汰2名,避免了大量淘汰。笔者认为使用超声心动图定量检查能提高心脏杂音、室壁肥厚、心腔扩大的诊断准确性。
Heart murmur, R wave high voltage ECG, abnormal heart shape is often encountered in the fly examination and difficult to conclude the issue. I can not rule out the pathological murmurs 54 people, 24 people with R wave high voltage, cardiac abnormalities in 13 people, echocardiography, left ventricular end-systolic and end-diastolic diameter, right ventricular wall thickness, interventricular septum thickness , Right ventricle and aortic diameter as the main indicators of inspection, the results only because of the large left ventricular cavity out of 1, due to heart and chest than eliminated 2, to avoid a large number of eliminated. I believe that the use of quantitative echocardiography can improve cardiac murmur, ventricular hypertrophy, heart chamber to expand the diagnostic accuracy.