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心内膜弹力纤维增生症(以下简称弹纤症)系婴幼儿期并非罕见的一种心脏病。其发病率约占先天性心脏病的1—20.4%。过去确诊本病依赖尸检,随着诊疗技术的进步,有人提出用心内膜心肌活检或心血管造影来确诊,因限于条件与设备,且为创伤性检查,故尚难普及和被患儿所接受。我院充分利用UCG的无损伤性、方便易行、可反复检查、对心内结构能作动态描记等优点,以此作为协诊弹纤症的常规检查,较好地配合了临床。现将我院按九省市心肌炎会议制定的统一标准临床诊断为弹纤症的28例的UCG 检查所见及随诊观察结果报告如下。
Endocardial fibroelastosis (hereinafter referred to as fibrosis) is not a rare infantile heart disease. The incidence of congenital heart disease accounts for about 1-20.4%. The past diagnosis of the disease depends on the autopsy, with advances in medical technology, it was suggested endomyocardial biopsy or cardiovascular angiography to confirm, due to limited conditions and equipment, and for traumatic examination, it is still difficult to popularize and accepted by children . Our hospital take full advantage of UCG non-invasive, easy to operate, can be repeatedly checked, the intracardiac structure can be used for dynamic tracings, etc., as a routine check syphilis syndrome, and better with the clinical. Now our hospital according to nine provinces of myocarditis meeting of uniform standards for the clinical diagnosis of muscular fibrillation in 28 cases of UCG examination and follow-up observations are as follows.