本文選題：主動(dòng)脈瓣 + 四葉式��； 參考：《中國醫(yī)學(xué)影像技術(shù)》2017年05期

【摘要】：正患者男,60歲,主因"胸悶、氣短2個(gè)月"就診。體格檢查未見異常。既往高血壓病史10年。超聲檢查:主動(dòng)脈瓣無冠瓣瓣葉中部可見嵴樣強(qiáng)回聲,瓣葉局限增厚,回聲增強(qiáng),附著點(diǎn)顯示欠清,開放時(shí)嵴樣強(qiáng)回聲兩側(cè)瓣葉未見分開,瓣口呈"O"字征(圖1A),關(guān)閉時(shí)瓣口呈"X"字征,瓣葉呈三大一小前后左右排列(圖1B),可見對(duì)合縫隙,多普勒探及中—重度反流(圖1C);
[Abstract]:The patient is 60 years old, mainly due to chest tightness, shortness of breath for 2 months. The physical examination was not abnormal. The history of hypertension was 10 years. Ultrasonic examination showed that the central part of aortic valve without coronal valve showed strong echo of crest, the local thickening of valve lobe, the enhancement of echo, the attachment point was not clear, and the leaves on both sides of crest like strong echo were not separated when opening. "O" sign appeared at the opening of the valve (fig. 1A), and "X" sign at the opening of the valve when it was closed. The lobes were arranged around the left and right of three big and one small size (fig. 1B). The involute gap was visible, and the Doppler detection was moderate to severe reflux (fig. 1C).
【作者單位】： 中國醫(yī)科大學(xué)附屬第一醫(yī)院心血管超聲科;
【分類號(hào)】：R540.45;R541.1
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本文編號(hào)：1934818