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目的研究尿毒症血透患者的超声心动图 (UCG)特征。方法分析 38例尿毒症血透患者的 M型及二维 UCG和临床资料。结果 132例(84.2 % ) UCG异常改变 ;2 5例 (13.1% )少至中等量心包积液 ,二尖瓣与主动脉瓣钙化各 4例 (2 1.1% ) ;3 10例 (2 6 .3% )符合尿毒症性心肌病 ,8例 (2 1.1% )疑有心肌缺血性损伤等。结论本组患者 84.2 %有轻重程度不等的 UCG异常 ,左室肥大、室间隔增厚和左室舒缩功能异常等是其 UCG主要特征 ;13.1%～ 2 6 .3%并发透析后心包炎、尿毒症性心肌病和心肌缺血性损伤等心脏并发症
Objective To study the characteristics of echocardiography (UCG) in uremic hemodialysis patients. Methods M - type and two - dimensional UCG and clinical data of 38 patients with uremia hemodialysis were analyzed. Results 132 patients (84.2%) had abnormal changes of UCG; 25 patients (13.1%) had small to moderate pericardial effusion; 4 patients (21.1%) had mitral valve and aortic valve calcification; 3%) in line with uremic cardiomyopathy, 8 cases (2 1.1%) suspected myocardial ischemic injury and so on. Conclusion 84.2% of the patients had UCG abnormalities ranging in severity, left ventricular hypertrophy, ventricular septal thickening and abnormal left ventricular systolic and diastolic function were the main characteristics of UCG; 13.1% ~ 26.3% of patients with pericarditis after dialysis , Uremic cardiomyopathy and myocardial ischemic injury and other cardiac complications